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  • Case 2: 48-year-old woman

    Case 2: 48-year-old woman
    2023/08/02
    • A 48-year-old woman with an 18-year history of SLE is presenting for a regular appointment
      • Mother of 2 teenage children, works full time as a dental assistant
      • Functional history: patient describes worsening of her lupus symptoms 
        • Pain in fingers, especially in the winter, causing some functional disability
        • Hip pain causing difficulty walking
    • Treatment history
      • Heavy steroid use before switching to methotrexate and belimumab 12 years ago
      • 18-year history of hydroxychloroquine with no ocular adverse events
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    6 分
  • Case 1: 25-year-old African American woman

    Case 1: 25-year-old African American woman
    2023/08/02
    • A 25-year-old African American woman presented to the clinic 2 weeks ago with shortness of breath, chest pain, and lower extremity edema
    • On examination, she had evidence of alopecia, mild bilateral knee arthralgia and swelling, and malar rash
    • In the ED, her blood pressure was 150/90 mmHg
    • Blood work significant for: Positive for anti-ANA, anti-dsDNA, anti-Smith, C3 and C4 below normal range
    • Urinalysis significant for elevated protein and RBCs with casts
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    7 分