Acute systemic lupus erythematosus


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Acute systemic lupus erythematosus

  1. 1. ..butterfly pattern” on the face .This is the typical ”malar rash”
  2. 2. Livedo reticularisA mottled purplish discoloration of the skin
  3. 3. Subacute Cutaneous Lupus erythematosus)SCLE
  4. 4. ?What Is Lupus
  5. 5. Lupus Symptom :Joint Pain
  6. 6. Lupus Symptom :Butterfly Rash
  7. 7. Lupus Symptom :Nail Changes
  8. 8. Lupus Symptoms :Fever and Fatigue . •
  9. 9. Lupus Symptom :Light Sensitivity
  10. 10. Lupus Symptom :Hair Loss . •
  11. 11. Lupus Symptom :Raynauds
  12. 12. ?Lupus or Something Else
  13. 13. Diagnosing Lupus
  14. 14. • ?Who Gets Lupus Anyone , But more than 90% of people are women. :• African-American, Latino, or Asian• Aged 15 to 45• Related to someone with lupus
  15. 15. Types of Lupus• systemic lupus erythematosus (SLE)• Cutaneous lupus erythematosus (discoid lupus• Drug-induced systemic lupus
  16. 16. Medical Treatments for Lupus . •
  17. 17. Self-Care for Lupus• Cover up when youre in the sun• Dont smoke.• Exercise regularly.• Improve your stress management skills.• Also be sure to get plenty of rest..
  18. 18. Lupus and Kidney Problems
  19. 19. Lupus and Heart Problems . •
  20. 20. Lupus and Lung Problems
  21. 21. Lupus and Digestive Problems
  22. 22. Lupus and Anemia
  23. 23. Lupus and the Nervous System
  24. 24. Lupus and Mental Health
  25. 25. Lupus and Pregnancy
  26. 26. Neonatal Lupus
  27. 27. Living with Lupus
  28. 28. Outlook for Lupus
  29. 29. Discoid lupus erythematosus
  30. 30. Subacute LE
  31. 31. Drug-induced lupus
  32. 32. Systemic LE
  33. 33. Livedo reticularis can be a normal condition that is simply more • .obvious when a person is exposed to the cold Livedo reticularis can also be an indicator of impaired circulation. • :Livedo reticularis has been reported in association with .Autoimmune diseases such as systemic lupus erythematosus • Abnormal antibodies referred to as phospholipid antibodies. • Examples of these antibodies are the cardiolipin antibody and .falsely positive testing for syphilis A syndrome featuring phospholipid antibodies with multiple brain •strokes .It is felt that the blood of these patients has a propensity to .clot which may predispose to stroke
  34. 34. Erythematous, warm, plaques in light • exposed distribution(also on patients neck), consistent with recrudesence of known Subacute Cutaneous LupusErythematosus(SCLE ).Image courtesy of .Diego Jarrin, M.D
  35. 35. Joint and muscle pain is often the first sign • of lupus .This pain tends to occur on both sides of the body at the same time, particularly in the joints of the wrists, hands, elbows, knees, or ankles .The joints may look inflamed and feel warm to the touch .But unlike rheumatoid arthritis, lupus usually does not cause permanent .joint damage
  36. 36. A tell-tale sign of lupus is a butterfly- •shaped rash across the cheeks and bridge of the nose .Other common skin problemsinclude sensitivity to the sun with flaky, red spots or a scaly, purple rash on variousparts of the body, including the face, neck, and arms .Some people also develop .mouth or lip sores
  37. 37. Lupus can cause the nails to crack or fall • off .They may be discolored with blue or reddish spots at the base .These spots are actually in the nail bed, the result of inflamed small blood vessels .Swellingmay also make the skin around the base .of the nail look red and puffy
  38. 38. The symptoms of lupus tend to come and • go, and this includes hair loss .Patients may go through periods where their hairfalls out in patches or becomes thinner all across the scalp .Once the flare-up is over, new hair is likely to grow in evenly
  39. 39. Some people with lupus develop a condition • called Raynauds phenomenon .Their fingers and toes become painful, numb, and tingly in response to cold temperatures or emotional stress .This happens when small blood vesselsspasm and restrict blood flow to the area .Duringan attack, the fingers and toes may turn white or blue .People can also have Raynauds without having lupus or any serious health .complications
  40. 40. When lupus begins, it can look a lot like • rheumatoid arthritis, which causes joint pain and swelling, or fibromyalgia, which causes fatigue and pain .One aspect thatsets lupus apart is the combination of skin rashes with joint pain and fatigue .Thereare also lab tests that can help distinguish lupus from other diseases . •
  41. 41. Diagnosing lupus can be tricky .The disease can • mimic other conditions, and it often takes adifferent course in different people .Many people have it for years before developing tell-tale symptoms .Although there is no one test for lupus, certain proteins usually show up in a patients blood .A blood test for antinuclear antibodies(ANAs )can provide a critical clue. Other lab tests may check cell counts, kidney function, and clotting time .A tissue biopsy .sometimes helps with diagnosis
  42. 42. Digestive problems are not common with • lupus, but some people may experience belly pain, nausea, vomiting, difficultyswallowing, or inflammation of the liver or pancreas .This can be related to lupus itself or medications used to treat thedisease .Some people tend to lose weight .during lupus flare-ups
  43. 43. Depression and anxiety are a risk for people with • lupus .This may be the result of the conditions affect on the nervous system combined with the emotional strain of coping with a chronic illness. Be sure to discuss any concerns about your mood with your doctor or other health care provider .There are highly effective treatments for depression and anxiety . •
  44. 44. Most women with lupus can get pregnant, • though the condition increases the risk ofcomplications during pregnancy .Because lupus symptoms come and go, the best time to get pregnant is when symptoms are at a minimum. Women who conceive when symptoms are in remission are less likely to have flare-ups or complications .Make sure your obstetricianknows you have lupus .You medications may bemodified and you may undergo extra monitoring .to ensure a successful pregnancy
  45. 45. Most babies born to women with lupus are • entirely healthy .But in rare cases, the newborn of a mom with lupus may haveneonatal lupus .This condition can cause a skin rash, anemia, or liver problems .The symptoms usually go away after a few months and dont cause permanent damage .However, some babies with neonatal lupus are born with a serious .heart defect
  46. 46. The fatigue and joint pain associated with • lupus can make it more difficult to do your job or care for your children .You may have to cut back on activities or ask for help when symptoms flare up .But mostpeople with lupus are able to continue with .their usual activities
  47. 47. Thanks to improvements in treatments for • lupus, people with the condition are living significantly longer .The outlook for any given individual depends on how severe the disease is, and whether any vital organs are affected .But most people withlupus can expect to live a normal or nearly .normal life span