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.
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What are Water Functions Next to air, water is the substances most necessary for survival. Most everything in the body occurs in a water medium. Although people can live without vitamins and minerals for extended periods, death result within a few day without water.
Water makes up about 60% of the body's weight. Every cell in the body is bathed in water of the exact composition that is best for it. Even tissues that are not thought of as "watery" contain large amounts of water. Fo example, water makes up about 75% of brain and muscle tissues; bone tissue and fat tissue are about 20% water. As a lee the bodies of women. Men have more muscle tissue, and muscle tissue holds more water that fat tissue, which is more prominent in the bodies of women.
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.
Sciatica Treatment Exercises Guide and Image Sciatica differs from other types of back problems in the way the pain is felt. Sciatica pain can be a dull ache felt in the buttocks or a shooting pain that radiates down the leg. Sciatica symptoms can be numbness or 'pins and needles' and is commonly felt in the foot.
Sciatica back pain is located in the lower back but is usually less severe than other accompanying sciatica pain. There are several sciatica treatment options which can be used to give pain relief and can range from exercises to surgery.
Antioxidant vitamins Three vitamins are classified as antioxidants Ė vitamins C, E, and beta-carotene. Antioxidants are protective substances because they help neutralize the activity of free radicals. Free radicals are naturally produced chemicals that arise from normal cell activity. When ever the body uses oxygen or is exposed o a toxin, such as cigarette smoke, it forms free radicals. These unstable chemicals can damage cells throughout the body. They may damage a cell's DNA in ways that lead to cancer, may interact with cholesterol in the bloodstream and form oxidized Low-density lipoprotein (LDL) may cause cataracts and rheumatoid arthritis, and may be factor in the physiological changes associated with the aging process. Anything that interferes with the destructive effects of free radicals offers a health advantage. Vitamins C, E, and beta-carotene are believed to prevent the oxidation of cholesterol and other molecules linked to the diseases mentioned previously, most notably heart disease and cancer. A common cooking practice illustrates this antioxidant effect: some foods like bananas, peaches, apples, and potatoes quickly turn brown when exposed to air. However, when such foods are dipped in lemon or orange juice, the vitamin C in the juice acts as an antioxidant and prevents browning.
Listeria monocytogenes prevention Are you looking for listeria monocytogenes prevention? Listeria monocytogenes is an important bacterial pathogen in neonates, immunosuppressed patients, elderly adults, pregnant women, and occasionally, previously healthy individuals. The importance of underlying diseases was illustrated in a series of 165 adults with culture-proven Listeria infection: 69 percent of cases in nonpregnant adults occurred in patients with cancer, AIDS, organ transplant recipients, or corticosteroid therapy
Symptoms of Pregnancy On the chart below are list of the most common symptoms of pregnancy and what they mean. You can also click the sign to get more information on each symptoms of pregnancy. The three categories of pregnancy symptoms are: possible, probable and positive.
Early Onset Dementia Symptoms Are you looking for early onset dementia symptoms? Familial Alzheimer's disease (FAD) or Early onset Familial Alzheimer's disease (EOFAD) is an uncommon form of Alzheimer's disease that usually strikes earlier in life, defined as before the age of 65 (usually between 50 and 65 years of age, but can be as early as 15) and is inherited in an autosomal dominant fashion, identified by genetics and other characteristics such as the age of onset. It accounts for approximately half the cases of early-onset Alzheimer's disease. Familial AD requires the patient to have at least one first degree relative with a history of AD. Non-familial cases of AD are referred to as "sporadic" AD, where genetic risk factors are minor or unclear.
Breast Cancer Facts and Statistics Breast cancer is the most common form of cancer in women. There are close to 200,000 new cases of breast cancer a year, and this results in about 47,000 deaths per year, although the mortality has fallen slightly in the 1990s.
The etiology of breast cancer remains unknown but at least two breast cancer genes have been clonedĖthe BRCA-1 and the BRCA-2 genes. Only about 10% of all breast cancers can be explained by hereditary mutations in these genes. Most of the sporadic cases, the other 90% of the cases of breast cancer, do not seem to have mutations in these genes so there does not seem to be a common pathway gene for both sporadic and hereditary cases.
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.
Lyme Disease Symptoms and Treatment Lyme disease was first recognized in this country in 1975 along this rural road in the region of Lyme Connecticut. Physicians were facing an epidemic of what was being called juvenile rheumatoid arthritis. But it was through the pioneering work of Dr. Stear, who had been at Yale University, and Stira Malavista where it became very apparent that this was not a disease that was isolated to a joint, but rather involved many other systems in the body with the predilection for the skin, for the heart and the nervous system in addition to the joints. Although Lyme disease was relatively new to the United States, the neurologic manifestations were well recognized in Europe at the turn of the century and had been associated with the bite of the hard-shelled tick of the Ixodes family. But it wasnít until 1981 that Willie Burgdorfer collected Ixodes from an endemic area of Lyme disease in the United States and isolated the spirochete Borrelia burgdorferi, which bears his name. In 1983 Stira Malavista established the spirochete etiology of Lyme disease when they cultured the spirochete from the blood of patients and other tissues of patients with acute Lyme disease and showed the sera converted to spirochete protein.
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.
Recognizing Anorexia and Bulimia and Treatment Anorexia Nervosa A young woman, competitive and perfectionistic by nature, determines that her weight (and appearance) is unacceptable. She begins to disregard her appetite, and her food consumption virtually ceases. This young man may be seen by her friends as active and intelligent and simply dieting and exercising with an unusual degree of commitment. Eventually, however, they observe that her food consumption has nearly stopped. Her weight loss has continued beyond the point that is pleasing-at least to others. Still, her activity level remains high. When questioned about her weight loss, she says that she still needs to lose more weight.
This person is suffering form medical condition called anorexia nervosa. This self-induced starvation is life-threatening in 5% to 20% of cases. The stunning amount of weight that some anorexic people lose-up to 50% of their body weight-eventually leads to failure of the heart, lungs, and kidneys.
Hypertension Symptoms Diagnosis and Treatment High blood pressure is defined as a systolic BP ≥ 140 or a diastolic BP > 90
on more than two occasions (see Table 3.5). Hypertension is associated with
MI, heart failure, stroke, and kidney disease and has a higher prevalence
among ethnic minorities, in women, and with ↑ age. As a screening measure,
BP should be checked at least every two years starting at age 18.