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. Itís 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 Ĺ 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, Iíd like to draw your attention to thrombocytopenia. Iíd 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. Hereís 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 doesnít work within a few months we would proceed to splenectomy. We may use some IV Ig on the way.
That's some stuff about Lupus Symptoms in Women
Breast Cancer Signs and Self Breast Examination Instructions
About 1 out 10 women will develop breast cancer at some time in her life. Although this oft-repeated ratio has frightened many women, it represents a womanís lifetime risk. Thus, not until the age of 80 does a womanís risk of breast cancer rise to 1 in 10. Here is the risk at earlier ages :
Age 50 : 1 in 50
Age 60 : 1 in 24
Age 70 : 1 in 14
Age 80 : 1 in 10
In 1995, approximately 182,000 women in the United States will have been diagnoses with breast cancer for the first time. About 46,000 women (and 240 men) will die, making breast cancer the second leading cause of cancer death for women.
Kidney Stones Causes, Symptoms and Treatment Kidney stones are deposits of mineral or organic substances that form in the kidneys. When abnormally high levels of certain minerals, such as calcium, are in the urine, they may condense into hard masses, forming stones in the kidney or urinary tract. The stones may be as small as a tiny pebble or as large as a walnut.
What are Liver Disease Symptoms Liver disease (also called hepatic disease) is a broad term describing any single number of diseases affecting the liver.Hepatitis, inflammation of the liver, caused mainly by various viruses but also by some poisons (e.g. alcohol), autoimmunity (autoimmune hepatitis) or hereditary conditions. Diagnosis is done by checking levels of Alanine transaminase
Non-alcoholic fatty liver disease, a spectrum in disease, associated with obesity and characterized as an abundance of fat in the liver; may lead to a hepatitis, i.e. steatohepatitis and/or cirrhosis.
Symptoms of pneumonia in adults Are you looking for symptoms of pneumonia in adults?
Pneumonia is a general term that refers to an infection of the lungs, which can be caused by a variety of microorganisms, including viruses, bacteria, fungi, and parasites.
Most cases of pneumonia are caused by viruses, including adenoviruses, rhinovirus, influenza virus (flu), respiratory syncytial virus (RSV), and parainfluenza virus (which causes croup).
Candida albicans Causes, Those at Risk, Symptoms and Treatment Candida albicans is a fungus that is normally present on the skin and on membranes of the mouth, throat, intestines, and vagina. It becomes an infecting agent only when there is some change in the body environment that allows it to grow out of control.
Pigment Disorders and Birthmarks The mechanism that controls skin coloration is described above under ďSkin Color.Ē Abnormalities in the creation and distribution of melanin result in the following disorders some of which are negligible.
These are small spots of brown pigment that frequently occur when fair-skinned people are exposed to the sun or to ultraviolet light. For those whose skin gets red rather than tan during such exposure, freckles are a protective device. In most cases, they recede in cold weather. A heavy freckle formation that is permanent can be covered somewhat by cosmetic preparations. No attempt should be made to remove freckles with commercial creams or solutions unless supervised by a physician
Watermelon diet plan Are you looking for watermelon diet plan? The Watermelon Diet comes in and out of vogue regularly. That itself should be a warning - watermelons are highly seasonal, so there are only a couple of months of the year that fresh watermelons are even available. When they are, the hype surrounding this silly fad diet returns too.
Whilst there is no single "official" watermelon diet plan, the generally touted concept is that, to lose weight, you should eat nothing but watermelons for a few days, or a week, or a couple of weeks. The theory is that they are nutritious, filling and low in calories.
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.
Glaucoma Treatment Guidelines Are you looking for glaucoma treatment guidelines? Glaucoma is an eye disorder in which the optic nerve suffers damage, permanently damaging vision in the affected eye(s) and progressing to complete blindness if untreated. It is often, but not always, associated with increased pressure of the fluid in the eye (aqueous humour). The term 'ocular hypertension' is used for cases having constantly raised intraocular pressure (IOP) without any associated optic nerve damage. Conversely, the term 'normal' or 'low tension glaucoma' is suggested for the typical visual field defects when associated with a normal or low IOP.
Reboot diet recipes and reviews are you looking for reboot diet recipes and reviews? Joe Cross goes through 60 days of juice fasting, a so called "Reboot" to reset his body's system, and naturally looses an enormous amount of kilos, but this can obviously not be recommended without a doctor's supervision. So according to Reboot Your Life's website a 5 day juice fast is recommended, or for a bit of a more humane version a diet with light meals and juice in combination.
Infertility information for women Most traditional-age college students are interested in preventing pregnancy. However, increasing numbers of other people are trying to do just the opposite: they are trying to become pregnant. It is estimated that about one in six couples has a problem with infertility. The couples wish to become pregnant but are unable to do so.
Nephritis Symptoms and Treatment Nephritis is a disorder characterized by inflammation of the glomeruli of the kidneys. The glomeruli are tiny coiled blood vessels through which the liquid portion of the blood is filtered as it enters the outer structure of the kidneys. There are about one million of these tiny blood vessels in each kidney. The fluid from the blood passes from them into many little ducts called tubules. Water and various substances are secreted into and absorbed from the liquid in the tubules. The final product of this passage of filtered fluid from the glomeruli through the tubules to the uterus and then to the bladder is urine. It contains the excess fluid and waste products produced by the body during normal functioning.
New Treatments for Arrhythmias in Children This is a general outline of the approach to arrhythmias. The first thing you are going to do is; what is the heart rate? Fast, slow? Is it regular, irregular? The next thing you will notice is; is it wide or narrow QRS, because obviously you will be worried about how dangerous this might be. And then you will probably start to look a little more closely and see if you see P waves. And the P waves are whatís going to really give you a diagnosis. They can be absent, they can be normal, they might be retrograde or they might be intermittent or multiple. Whenever possible, itís very helpful to obtain 12-lead EKGs to diagnose a rhythm disorder. Obviously if the patient is unstable itís not worth it, in a pulseless patient. But if a patient is stable talking to you, itís very helpful to figure out what this was and how to treat it long-term, if you have 12-lead EKGs. Itís also very helpful to run rhythm strips, preferably rhythm strips out of an EKG machine that will give you three leads rather than something off of a defibrillator or monitor during interventions when you give adenosine, even vagal maneuvers.