Are you looking for Lupus Symptoms in Women? Lupus is a clinical syndrome, the cause of which remains uncertain. It is a member of the family of autoimmune rheumatic diseases. Lupus is more common in women, and certainly more common amongst the black and Chinese population. It’s clinical diversity is at least apparently matched by its serological diversity. The prevalence of lupus among Afro-Caribbeans is approximately five times that of a Caucasian population, and about 2 ˝ times that of an Asian population.
Lupus Symptoms in Women
Lupus is far from confined to the skin. Indeed, we now recognize lupus in all its many systemic forms, much of the work being done in this century in various parts of the United States. At least 10% of the patients in my cohort who have been misdiagnoses as suffering from lymphomas or other malignant diseases. Virtually all lupus patients of course have musculoskeletal involvement, substantial number have dermatologic involvement, and a large number of patients also have gastrointestinal disease. Perhaps nowhere is the clinical diversity shown that in the cerebral system, where anything from migraine to madness may be a feature of lupus. About 30% of patients with lupus presenting to a rheumatologist will turn out to have significant renal disease. Perhaps 40% will have cardiopulmonary disease and virtually all patients with lupus have some hematological manifestation or another.
For the final clinical conundrum, I’d like to draw your attention to thrombocytopenia. I’d like to persuade you, at least to my mind, that there are at least three sorts of thrombocytopenia in patients with lupus. There are a group of patients who present with what is generally regarded as idiopathic disease, idiopathic thrombocytopenia, until other features of lupus turn up some years later. The platelet count can certainly get very low with these patients and clinical symptoms referable to thrombocytopenia are very common. In addition I recognize a group of patients with what I call chronic persistent thrombocytopenia within the context of lupus. The platelet count here often runs between 50 and 125, but the clinical symptoms referable to this platelet count are much rarer. There are a similar number of patients who have a dramatic fall in their platelet counts. This can occur over a matter of weeks or months and there are again frequent clinical features relevant to the platelet counts. How best to treat these patients? This is a review of a number of patients with lupus or the antiphospholipid syndrome, reviewed by _ and myself some years ago. In our cohort 16.5% of patients had thrombocytopenia as judged by a platelet count of less than 100; 7.5% of these patients had thrombocytopenia linked to antiphospholipid antibodies and 6% have very severe thrombocytopenia, counts less than 15 with symptoms.
If each of the eight organ systems, based largely on clinical questions - and I stress that, clinical questions - we define disease activity on this A-E basis. Where A represents action. The patient is severely ill, has sufficiently severe clinical features that they require major immunosuppressive therapy. B for beware, in the sense that we already knew the patient was active. C for contentment. There is low level activity, not requiring much in the way of therapy. D for discount, in the sense that the disease was once active but is no longer active. And E for no evidence of disease in the system now or previously. Here’s an example of the way that this works. Take, for example, the cardiovascular assessment. In a patient who presents with cardiac failure or symptomatic effusion and two of these other features listed here, from pleuropericardial pain due to friction rub, to deteriorating lung function. That patient will be categorized for their cardiovascular assessment as an A. In contrast, if only two of these criteria were present, they would be categorized as a B. If only one criteria or mild chest pain was present, they would get a C. A D if there was previous involvement but none current, and E for no previous involvement.
Now all of these patients were treated initially with large doses of corticosteroids and a significant number of them failed to respond. What should you do then? There is some conflicting data in the literature but we have found that splenectomy done relatively early to be a very helpful way of proceeding. So, of 17 patients that we identified during this time period, 12 had lupus, four had antiphospholipid syndrome, and one had three features of lupus and what we referred to as lupus-like. Nine of these patients were eventually given a splenectomy. Six of them responded completely, two of them gave a partial response, which unfortunately was not sustained, and one patient died of an unrelated carcinoma. The patient with the lupus-like disease also did extremely well. So for us, we tend to treat patients with thrombocytopenia, especially the acutely presenting ones, with corticosteroids. If that doesn’t work within a few months we would proceed to splenectomy. We may use some IV Ig on the way.
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Calculate bmi for teenage girls Calculate Your Body Mass Index
Body mass index (BMI) is a measure of body fat based on height and weight that applies to adult men and women.
Lichen Sclerosus Lichen sclerosus is an atrophic, shrinking disease that usually occurs in postmenopausal women. The main symptom, if any, is pruritus. It can appear in children but remits after the menarche. The skin thins to a dry, shiny, fragile, finely wrinkled, parchment-like appearance and the external genitalia contract and lose their shape and definition. White patches fuse into a symmetric, "keyhole" pattern, often encompassing the perianus. Telangiectasia and mid-line skin "splits" are common. Histologically the epidermis is thin with flattened rete pegs. The dermis is edematous and hyalinized, with a loss of elastic fibers. There is a chronic inflammatory infiltrate in the lower dermis.
Common Ankle Problems The primary care physician will often be the first to evaluate common foot and ankle problems. The patient's complaints will range from acute traumatic injuries to chronic conditions, which have progressed in severity.
The recognition of local and systemic factors that contribute to the patient's condition in conjunction with a thorough history and physical examination will direct the initial plan of management, the use of further diagnostic testing and the necessity of an Orthopaedic referral.
Seizure Diagnosis and Treatment Nonfebrile seizures occur at all ages. The term
"seizure" designates a clinical event that represents dysfunction of
the central nervous system (CNS) and may signal a serious underlying
abnormality; however, more often in children the seizures result from a
transient disturbance of brain function.
Echocardiographic diagnosis in carcinoid heart disease W.F. Wonnink-de Jonge, C.T.A.M. Knibbeler-van Rossum, C. van der Heul, W.H. Pasteuning 181
In this case report the typical echocardiographic features
of carcinoid heart disease are presented. Newer treatments
such as the use of a somatostatin analogue, interferon and
hepatic de-arterialisation have improved the prognosis in
patients with carcinoid syndrome. Nevertheless this syndrome
portends a poor prognosis in patients with cardiac
involvement. Cardiac lesions are mainly located in the
right side of the heart.
Best osteopathic medicine schools in USA Osteopathic medicine is a branch of the medical profession in the United States. Osteopathic physicians, known as DOs, are licensed to practice medicine and surgery in all 50 states and are recognized in forty-seven other countries, including most Canadian provinces.
Frontier physician Andrew Taylor Still founded the profession as a radical rejection of the prevailing system of medical thought of the 19th century. Still's techniques relied heavily on the manipulation of joints and bones to diagnose and treat illness, and he called his practices "osteopathy". By the middle of the 20th century, the profession had moved closer to mainstream medicine, adopting modern public health and biomedical principles. American "osteopaths" became "osteopathic physicians", gradually achieving full practice rights as medical doctors in all 50 states, including serving in the US armed forces as physicians.
Bell Palsy Treatment Guidelines Bell's palsy is an idiopathic facial paresis that has been attributed to an inflammatory reaction involving the facial nerve. A relationship of Bell's palsy to reactivation of herpes simplex virus has recently been suggested, but there is little evidence to support this.
Heat Stroke Long Term Effects Are you looking for heat stroke long term effects? here is some good article about heat stroke long term effects.
Heat stroke is a form of hyperthermia, an abnormally elevated body temperature with accompanying physical symptoms including changes in the nervous system function. Unlike heat cramps and heat exhaustion, two other forms of hyperthermia that are less severe, heat stroke is a true medical emergency that is often fatal if not properly and promptly treated.
Transgender surgery procedure and cost As you were growing up, how did you know you were a girl or a boy? Was it because you had a vagina or a penis? Or was it something more than your physiology? Some people feel that their minds and bodies don't quite match up. This feeling is commonly known as transsexualism -- a type of gender identity disorder. Transsexuals are dissatisfied with their sexual identity, body characteristics or gender role. They wish to live as the opposite gender and may transform their bodies through gender reassignment surgery - a collection of procedures commonly known as a "sex change."
Causes Of Contact Dermatitis There are many substances that produce contact dermatitis. Occasionally there are people who develop a contact dermatitis during certain seasons of the years. Closer investigation reveals that these people are sensitive to oily fraction of seasonal pollens and plants. Contact dermatitis may also be due to occupational substance such as chemicals, furs, dyes, leather, cosmetics, and many drugs.
when confronted with a condition that is suspected as being contact dermatitis, we try to find out as much information as possible to shed light upon the possible causes.
Dementia stages symptoms Are you looking for dementia stages symptoms? Dementia is a serious loss of cognitive ability in a previously unimpaired person, beyond what might be expected from normal aging. It may be static, the result of a unique global brain injury, or progressive, resulting in long-term decline due to damage or disease in the body. Although dementia is far more common in the geriatric population, it can occur before the age of 65, in which case it is termed "early onset dementia".
Symptoms of dementia can be classified as either reversible or irreversible, depending upon the etiology of the disease. Less than 10% of cases of dementia are due to causes that may presently be reversed with treatment. Causes include many different specific disease processes, in the same way that symptoms of organ dysfunction such as shortness of breath, jaundice, or pain are attributable to many etiologies.
Arteries, Veins, Capillaries and The Heart The blood away which carry the bright red oxygenated blood away from the heart are called arteries. The large arteries, which receive the blood directly from form the heart, branch repeatedly until every part of the body is served by one or more of them.
The blood returns from all parts of the body to the heart through veins. There are many more veins than arteries throughout the body. The veins gradually unite to form larger veins as they approach the heart.
Schistosomiasis Symptoms and Treatment A worm of a different sort—the trematode, a flatworm of the class Trematoda, which includes the flukes—is responsible for schistosomiasis. This disease occurs in various forms if Africa, Asia, South America, and the Caribbean, including Puerto Rico. About 200 million people infected with schistosomiasis, also called bilharziasis.
Life Cycle of the Fluke Parasite
The process of infection by one kind of fluke involves free swimming larvae that penetrate the skin of a human who has entered waters containing the organism. The larvae follow the human bloodstream to the liver, where they develop into adult worms. The adult worms then move into the intestine or urinary bladder and are excreted with the urine or feces of the host. If they find their way to fresh water, the eggs hatch and the released organisms find their way to the body of a snail. Inside the snail they multiply into thousands of new larvae over a period of one or two months, after which they return to the water and invade the skin of another human. In this manner the fluke worm continues its life cycle, infecting more humans who venture into the contaminated waters.