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.
That's some stuff about Lupus Symptoms in Women
Pigment Disorders and Birthmarks The mechanism that controls skin coloration is described above under “Skin Color.” 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
Characteristics of Anxiety Anxiety is an emotion and a subjective individual experience. It is an energy and therefore cannot be observed directly. A nurse infers that appetent is anxious based on certain behavior. The nurse needs to validate this with the patient. Also anxiety is an emotion without a specific object. It is provided by the unknown and precedes all new experiences such as entering school, starting a new job, or giving birth to a child.
The characteristic of anxiety differentiates it from fear. Fear is are individual ideation with specific source or object that the person can identify and describe. Fear involves the intellectual appraisal of a threatening stimulus, anxiety involves the emotional response to that appraisal. A person generally fears a set of circumstances that may occur at same point in the future. A fear is caused by physical or psychological exposure to a threatening situation. Fear produces anxiety. The two emotions are differentiated in speech, we speak of having a fear but of being anxious.
Diabetes Mellitus Treatment Diabetes mellitus is a chronic disease which is difficult to cure. Management concentrates on keeping blood sugar levels as close to normal ("euglycemia") as possible without presenting undue patient danger. This can usually be with close dietary management, exercise, and use of appropriate medications (insulin only in the case of type 1 diabetes mellitus. Oral medications may be used in the case of type 2 diabetes, as well as insulin).
What is Vitamin D for Health Are you looking for what is vitamin d for health?
Vitamin D is very important for the health and it is true fact that vitamin is not found in our foods as compare to its need in the body. Other major and most important source of vitamin d is sun light. But in this era world is fast enough that none of us has enough time to get sub bath and get vitamin via their skin.
Lasik Eye Surgery Cost and Prices Are you looking how much Lasik Eye Surgery Cost?
There have always been concerns about LASIK because of its tendency to induce higher-order aberrations. The advancement of the LASIK technology has helped reduce the risk of clinically significant visual impairment after surgery. There is a correlation between pupil size and aberrations. Effectively, the larger the pupil size, the greater the risk of aberrations. This correlation is the result of the irregularity between the untouched part of the cornea and the reshaped part. Daytime post-lasik vision is optimal, since the pupil is smaller than the LASIK flap. But at night, the pupil may expand such that light passes through the edge of the LASIK flap into the pupil which gives rise to many aberrations, including the appearance of halos surrounding sources of light. There are other currently unknown factors in addition to pupil size that also may lead to higher order aberrations
Alternative Therapies for Asthma You probably have heard of several so-called "alternative" therapies for asthma. These are treatments that are not conventional and are usually given by nonmedical people. Most of these "treatments" do not help asthma and are often very expensive. However, people are sometimes tempted to try alternative therapy, which is often advertised by means of testimonials as having great benefit. People always hope that this will provide
a "cure" and allow them to stop their asthma treatments.
It should be stressed that these treatments have no proven benefit when tested in
proper clinical trials, although there may appear to be some improvement at first because
of the "placebo" effect, since suggestion may, for a short time, improve asthma symptoms.
Glycemic load diet plan and recipes Are you looking for Glycemic load diet plan and recipes? Many are based on the glycemic index, which doesn't make a distinction between good carbohydrates, such as carrots, from bad ones like starches - potatoes, white pasta, sugar, etc. Nor do they take into account real-life serving sizes; the GI numbers are based on lab-controlled portions. The good news is that nutritional scientists have developed the glycemic load, a powerful new tool for controlling weight that's based on what people actually eat and allows for more of a variety of foods.
Teenage Acne Treatment Girls Are you looking for teenage acne treatment for girls? Acne is caused when a hair follicle get clogged with an oil called sebum and skin cells. Skin bacteria thrive and multiply in sebum, causing inflammation. Some acne consists of simple blackheads and whiteheads. Inflammation within the pore causes a pimple (also called a “papule”) or a pus-filled pimple (“pustule”), depending on how deep it is. If it’s really deep, it can cause a painful cyst and scarring.
Evaluation of the Child with Frequent Infections Immunodeficiencies can be divided into primary and secondary immune deficiencies. There are about 70 primary immunodeficiencies and they are mostly antibody defects. Overall incidence is about 1 in 10,000. They are really pretty uncommon, primary immunodeficiencies do not happen all that often. This next slide shows you the distribution. Pure antibody deficiencies are present in about 50%. You’ll see antibody deficiency and combined cellular deficiencies here in this green, and 20% cellular deficiencies are present in about 10%. Phagocytic disorders, 18% and complement is the rarest of all, which is 2%. Go back for a moment again - secondary immunodeficiencies are much more common than the primary immunodeficiencies and there are many, many causes of secondary immunodeficiency. But we are going to focus mostly on the primary immunodeficiencies. Most, in contrast to the primary immunodeficiencies where the primary immunodeficiencies or antibody deficiencies, most of these are T-cell defects. And as many as 50% of hospitalized patients may be immunocompromised to some degree. Some of the things like uremic patients, just poor nutrition, things like that can lead to immunodeficiency in those hospitalized patients.
Parkinsons disease treatment guidelines Excitement and tension can cause these symptoms to worsen, as can depression. Depression common among Parkinson’s disease victims, who are understandably upset by their loss of muscle control.
Parkinsons disease Diagnosis
Diagnostic evaluation involves a history, physical examination, and observation of the symptoms. If tremors are the only symptom displayed, tests may be done to rule out the possibility that other disorders are causing the tremors, such as liver disease, multiple sclerosis, chronic alcoholism, or over activity of the thyroid gland.
Paleo Diet Plan for Weight Loss The Paleo Diet is a way of eating that is very similar to the way our ancestors allegedly ate during the Paleolithic period, which was about 10,000 years ago. According to the Paleo Diet creator Dr. Loren Cordain the foods suggested in the Paleo Diet are high in the nutrients our bodies need to stay fit, and low in those that contribute to weight gain and illnesses related to too much weight gain.
The creators of the Paleo diet and recipes contend that the human body is genetically made to eat the way our ancestors did prior to the industrialization of agriculture.
Leukemia Symptoms and Therapy Leukemia is cancer of blood-forming tissue, including the lymph system and bone marrow. Because leukemia involves blood cells circulation through the body rather than a fixed mass of tissue, leukemia is sometimes not considered a true cancer. However, leukemia cells, when studied under a microscope and in cell cultures, behave like cancer cells found in tumors.
There are at least ten different kinds of blood cells that have been identified with various forms of the disease, which is why if frequently is referred to as leukemia. In addition, there are both acute and chronic forms of leukemia, such as acute granulocytic leukemia and chronic lymphatic leukemia, named after the particular kind of white blood cells that are most affected.