Clinical Case Database / Category: Patient Management
Systemic lupus erythematosus
Publication details
Dr Tazeen Jahan Ahmed MSC, MRCP, Dr David D'Cruz MD, FRCP
Foundation Years Journal, volume 3, issue 8, p.28 (123Doc Education, London, October 2010)
Abstract
A 28-year-old Afro-Caribbean female teacher presents to clinic with an ongoing history of joint pains going back 2 to 3 years. She has recently become more tired and has noted that she becomes short of breath when walking 100 metres, sometimes with sharp stabbing chest pain which comes and goes. Last summer, when on holiday, she developed a facial rash for the first time, which has now disappeared. She has noted that her hands become more stiff and painful in the winter months or when working with cold or frozen material.
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Authors
Dr Tazeen Jahan Ahmed MSC, MRCP
Louise Coote Lupus Unit
St Thomas Hospital
London SE1 7EH
tazeen.ahmed@gstt.nhs.uk
Dr David D'Cruz MD, FRCP
Louise Coote Lupus Unit
St Thomas Hospital
References
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8. Bertsias G, Ioannidis JP, Boletis J, Bombardieri S, Cervera R, Dostal C, et al. EULAR recommendations for the management of systemic lupus erythematosus. Report of a Task Force of the EULAR Standing Committee for International Clinical Studies Including Therapeutics.[see comment]. Ann Rheum Dis, 2008, 67:195–205.
9. Ippolito A, Petri M. An update on mortality in systemic lupus erythematosus. Clinical & Experimental Rheumatology, 2008, 26(5 Suppl 51):S72–79.
10. Bernatsky S, Boivin JF, Joseph L, Manzi S, Ginzler E, Gladman DD, Urowitz M, Fortin PR, Petri M, Barr S, Gordon C, Bae SC, Isenberg D, Zoma A, Aranow C, Dooley MA, Nived O, Sturfelt G, Steinsson K, Alarcón G, Senécal JL, Zummer M, Hanly J, Ensworth S, Pope J, Edworthy S, Rahman A, Sibley J, El-Gabalawy H, McCarthy T, St Pierre Y, Clarke A, Ramsey-Goldman R. Mortality in systemic lupus erythematosus. Arthritis Rheum, 2006, 54:2550–2557.
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About the Clinical Cases Database
The Foundation Years Clinical Cases Database is a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.
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