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A case of SLE polyserositis & pneumonitis

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Stanley Medical College, Department of Medicine

Mrs Mariapalam, a 61-year-old woman, was admitted with fever, breathlessness, and joint pain. Initial tests showed pericardial effusion, hypothyroidism, and an equivocal leptospirosis test. She was started on antitubercular treatment but symptoms persisted. Further evaluation at a new hospital found pleural effusions, pneumonia, positive antinuclear antibody and low complement levels, consistent with a diagnosis of lupus pneumonitis. She improved dramatically on high-dose intravenous steroids.

Santé & Médecine
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An Interesting case of PUO M 7 UNIT Prof Sundar
About the patient ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Investigations:2/4/08 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Contd.. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
 
 
On admission at Stanley GH ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Investigations done here:4/5/08 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Contd..6/5/08 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
 
 
 
 
 
 
 
 
Contd.. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
RFT 1.5 2.1 2.6 3.1 2.4 0.6 Creat 132 140 55 121 82 25 Urea 29.5 27.5 24.5 23.5 renal lab 22.5 8.5.08
ABG ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
At IMCW ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Contd.. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
 
 
Final Diagnosis ,[object Object]
ARA criteria for SLE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ANA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pleuro pulmonary manifestations of SLE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Lupus pneumonitis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Lupus pneumonitis contd.. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Acute Lupus pneumonitis
ADA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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