| Journal of Medical Cases, ISSN 1923-4155 print, 1923-4163 online, Open Access |
| Article copyright, the authors; Journal compilation copyright, J Med Cases and Elmer Press Inc |
| Journal website http://www.journalmc.org |
Case Report
Volume 8, Number 5, May 2017, pages 163-166
Diagnosis and Management of Systemic Lupus Erythematosus: A Case Report
Table
| Criterion | Definition/examples |
|---|---|
| A person is said to have SLE if he/she meets any four of these 11 criteria simultaneously or in succession. | |
| Malar rash | Fixed erythema over the malar eminences, tending to spare the nasolabial folds |
| Discoid rash | Erythematosus raised patches, may scar |
| Photosensitivity | Skin rash as a result of unusual reaction to sunlight |
| Oral ulcers | Usually painless |
| Arthritis | Non-erosive: Jaccoud’s arthropathy |
| Serositis | 1) Pleuritis - pleuritic pain, pleural rub, pleural effusion 2) Pericarditis - ECG changes, rub, pericardial effusion |
| Renal disorder | 1) Proteinuria (> 3+ or 0.5 g/day) 2) Cellular casts in urine |
| Neurological disorder | 1) Seizures 2) Psychosis |
| Hematological disorder | 1) Hemolytic anemia 2) Leukopenia 3) Lymphopenia 4) Thrombocytopenia |
| Immunological disorder | 1) Anti-DNA antibodies 2) Anti-Sm antibodies 3) Anti-phospholipid antibodies |
| Anti-nuclear antibody | Exclude drug causes |