DIAGNOSIS AND MANAGEMENT OF CASE OF SLE WITH SYSTEMIC MANIFESTATIONS

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DIAGNOSIS AND MANAGEMENT OF CASE OF SLE WITH
SYSTEMIC MANIFESTATIONS

• DR. ROHAN

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CHIEF COMPLAINTS

• FEVER SINCE 3 MONTHS
• JOINT PAIN SINCE 3 MONTHS
• RASH OVER FACE SINCE 1 WEEK
• PUFFINESS OVER FACE SINCE 1 WEEK

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SYSTEMIC MANIFESTATIONS

• BUTTERFLY RASH-ERYTHMATOUS RASH OVER
  CHEEKS,NOSE,NASOLABIAL FOLD PHOTOSENSITIVITY
  PRESENT
• MUSCULOSKELETAL-BILATERAL SYNOVITIS PRESENT IN
  SHOULDER,ELBOW,WRIST,MCP,KNEE, ANKLE JOINTS
  SYMMETRICALLY
• MODERATE RESTRICTION OF JT. MOVEMENTS WITH NO
  DEFORMITY

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29/6/07 9.6g/dl 2.5k/ul 49k/ul 28.9 81fl 41
- - - - - - - - - -
- -
30/6/07 - - 29k/ul - -
- 1.90mg/dl 26mg/dl 55.64mg/dl 2.60g/dl 0.08mg/dl
67u/l 147u/l - - - - -
1/7/07 - - 27k/ul - - -
- - - - - - - - - -
- -
2/7/07 9g/dl 3.9k/ul 87k/ul -
- 22 2.50mg/dl 45mg/dl 96.30mg/dl - -
- - 17 sec 1.21 -ve 17.4mg/dl -ve
4/7/07 24 hrs urine
protein-233mg/day
5/7/07 Lipids normal
6/7/06 9.2g/dl 6.8k/ul 50k/ul - - 17 -
- - - - - - - - -
- -
9/7/07 - - 20k/ul - -
- 0.8mg/dl 16mg/dl 34.24mg/dl - - -
- - - - - -
19/7/07 7.9g/dl 4k/ul 69k/ul -
- 22 0.7mg/dl - - - N N N
- Urine R/M-normal - -
HB TLC PL PCV MCV LYM CRE BUN BU ALB BILLI SGPT
SGOT PT INR APA C3 ANTI ds DNA
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MANAGEMENT

• Tab. HCQS 200MG BD
• Inj. SOLUMEDROL 1GM IV OD X 5 DAYS
• Tab. PREDNISOLONE 40MG OD
• Tab. AZATHIOPRINE 50MG OD

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THANK YOU
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