A Clinical Case of Systemic Lupus Erythematosus

Dr. Jagesh Kamath is sharing a clinical Case of Systemic Lupus Erythematosus diagnosed & managed with great expertise by him. Share your views on the case & learn new things. Follow us for more such updates!

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Hi, jaggey Watson Sir , This diagnosis could have been made more (or?ess) authentic by labconfirmatio by getting ANA profile . In that case even the psychosis could perhaps have been ben linked to SLE . A serious, progressive , mtisystem disease like SLE should be labeled on objective lab reports, however strong the cinical suspicion is .Hope you concur with me . The bilateral pleural effusion could have other DDs , from the case details supplied The preceding attack of co.munity acquired pneumonia, and the present pl effusion could be Para or post pneumonianic effusion , because of the incomplete treatment taken due to her psychotic srate , possibly. Secondly she had hypoprotienemia (nutriona? due to her psychosis causingng pedal oedema which is dependent part in ambulant position and similarly the lungs are the dependent on recumbent position ,resulting in translate leaking Into the pleura.. The hall mark of hyloprotienemia is presence of fluid collection in more than one place if anasarca! . Pl fluid analysis could have made it clear weather theuid is transudate (hypoprotienia) or an erxudate (SLE/TB etc ). Likewise the hair fall also could be nutrition +pschosis as the scarring alopecia of E could not be imagined to be missed by the specialist Regarding malar rash / photosensitivity ,I willg give the link below of an article focussing on contact cosmetic photosensitivity developing on melasma patch which is possible due to meddlesome effects by the psychotic lady Sir, This doesn't mean to undermine the valuable presentation but could have "shut the barking tongues and wagging tails ", had the diagnosis been confirmed by ANA profile . Still the last ground could be retrieved that would put the case above any pointing fingers .Regards Sir . Yours ASV Holmes ! (THE DEVIL IS BACK !) Research Article Cosmetic Contact Sensitivity in Patients with Melasma: Results of a Pilot Study  July 2014 Dermatology Research and Practice 2014(12)  Follow journal DOI:  10.1155/2014/316219 License CC BY Neel Prabha The link ; Research Article Cosmetic Contact Sensitivity in Patients with Melasma: Results of a Pilot Study  July 2014 Dermatology Research and Practice 2014(12)  Follow journal DOI:  10.1155/2014/316219 License CC BY Neel Prabha

Good manage

Very beautifully presented in a simplest comphrensive manner. Points under key learnings 👌. Helpful indeed. Thank you Dr. Jagesh sir 🙏 for sharing this case.

Very kind of you Dr.Shravan.
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Informative and educative topic discussed on SLE with details regarding cause sings symptoms investigation etc. Thanks for sharing as an important topic in detail.

Thanks Dr Narendra Kumar
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Informative

Nice Sir ji

Very informative and useful presentation. Thanks Dr Jagesh Kamath Sir sharing useful presentation

Thanks Dr Manoj Jangra
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CONGRATULATIONS SIR .. TNXS FOR HIGHLIGHTS ..

Tnx Dr Ashok Leel sir
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Thank you Sir.

A Successful Case Story of SLE diagnosed & managed by @Dr. Jagesh Kamath . Thanks for sharing @Expert Insights .

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