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DIAGNOSIS AND MANAGEMENT OF CASE OF SLE WITH SYSTEMIC MANIFESTATIONS

DIAGNOSIS AND MANAGEMENT OF CASE OF SLE WITH SYSTEMIC MANIFESTATIONS. DR. ROHAN. CHIEF COMPLAINTS. FEVER SINCE 3 MONTHS JOINT PAIN SINCE 3 MONTHS RASH OVER FACE SINCE 1 WEEK PUFFINESS OVER FACE SINCE 1 WEEK. SYSTEMIC MANIFESTATIONS.

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DIAGNOSIS AND MANAGEMENT OF CASE OF SLE WITH SYSTEMIC MANIFESTATIONS

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  1. DIAGNOSIS AND MANAGEMENT OF CASE OF SLE WITH SYSTEMIC MANIFESTATIONS DR. ROHAN

  2. CHIEF COMPLAINTS • FEVER SINCE 3 MONTHS • JOINT PAIN SINCE 3 MONTHS • RASH OVER FACE SINCE 1 WEEK • PUFFINESS OVER FACE SINCE 1 WEEK

  3. 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

  4. 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

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

  6. THANK YOU

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