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SLE OT

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SLE
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Systemic lupus erythematosus   chronic inflammatory condition affecting joint surfaces and vessel walls seen predominantly in women and young children   genetic predisposition , seen in relatives with HLADR2 and HLADR3 antigens   most common immunologic feature is production of ANA- immune complexes responsible for renal and cutaneous manifistations, tissue specific antibodies that cause hemolysis(RBC break down=brown urine) and thrombocytopenia(decreased platelets bleed rightaway   effects joints and kidneys, serous surfaces, and vessel walls   etiology is unkown   ANA +  
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systemic manifestations include   fatigue   malaise   weight loss   fecer without signs of infection   (blank)   (blank)  
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cutaneous manifestations   malar or butterfly rash exacerbated by exposure to sun   discoid rash ( chicken skin)   patchy alopecia (regional balding)   (blank)   (blank)   (blank)  
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joint manifestations   arthritis- symmetric primarily involving hands, wrist , and knees   ligament laxity leads to joint deformaties   raynaud's phenomenon - alternate red and whitediscoloration of skin secondary to exposure to cold weather   (blank)   (blank)   (blank)  
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renal manifistation   nephritic syndrome (Blood urea Nitrogen increases, lipid loss causes hypolipidemia, sensorial deterioration so drowsy and comatose, decrease albumin increases edema)   renal failure ( can't produce urin)   (blank)   (blank)   (blank)   (blank)  
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neurologic manifistation   behavioral and cognitive disturbances   activive cerebritis( encephalitis)   neuropathies cranial and peripheral   (blank)   (blank)   (blank)  
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git manifestation   nasea   abdominal pain 2 to steril peritonitis   (blank)   (blank)   (blank)   (blank)  
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Cardio pulmonary manifestation   pleuritis ( infl lung tissue)   pneumonitis ( infl lung)   pericarditis   endocarditis ( infl of heart valves)   (Libman sacs endocarditis)   (blank)  
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hematologic manifestation   hepatosplenomegaly   normochronic, normocytic anemeia ( normal number and size of rbc can't sustain O2   leukopenia ( dec WBC)   thrombocytopenia ( dec platelets)   (blank)   (blank)  
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treatment   steroids and cytotoxic agents ( azthioprine , cyclophosphomide) for ppl with kidney problems, hemolytic anemia, and thrombocytopenia   antimalarial agent for cutaneus manifistation and arthritis 9 hydroxycloroquin)   analgesics like ASA, NSAID, or ibuprofin for mild systemic symptoms   side effect of acytyl salilic acid is salycylate hepatitis   side effect for nsaid is acute renal failure   side effect for ibuprofin is aseptic meningitis  
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