SLE
Epidemiology
F>M; 4:1
Aetiology
Unknown
Clinical Features
Constiltutional: fever, lethargy, wt loss
Skin: malar rash, oral ulcers, discoid rash
Haem: pancytopaenia
Joints: arthralgia, arthritis
Immunology: antiphospholipid Ab, ANA, anti dsDNA ab
Renal: proteinuria
Diagnosis
At least 4 of:
S erositis (pleuritis or pericarditis)
O ral (Ulcers)
A rthritis (Non-erosive, any joint, polyarticular)
P hotosensitive rash
B lood dyscrasia (anemia, leukopenia, lymphopenia or thrombocytopenia)
R enal Nephritis
A NA
I mmunoreactive (anti-Ds DNA, Anti-Rho, Anti-Sm, Anti-La, antiphospholipid)
N eurological (Sz, Chorea, Psychosis)
M alar rash
D iscoid rash
Treatment
Source
Dr Neil Atherton 2014
F>M; 4:1
Aetiology
Unknown
Clinical Features
Constiltutional: fever, lethargy, wt loss
Skin: malar rash, oral ulcers, discoid rash
Haem: pancytopaenia
Joints: arthralgia, arthritis
Immunology: antiphospholipid Ab, ANA, anti dsDNA ab
Renal: proteinuria
Diagnosis
At least 4 of:
S erositis (pleuritis or pericarditis)
O ral (Ulcers)
A rthritis (Non-erosive, any joint, polyarticular)
P hotosensitive rash
B lood dyscrasia (anemia, leukopenia, lymphopenia or thrombocytopenia)
R enal Nephritis
A NA
I mmunoreactive (anti-Ds DNA, Anti-Rho, Anti-Sm, Anti-La, antiphospholipid)
N eurological (Sz, Chorea, Psychosis)
M alar rash
D iscoid rash
Treatment
- NSAID
- mab
Source
Dr Neil Atherton 2014