DrVirgo
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Topics: 1096
Posts: 3,515
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Sorry to post this one again, but I'm still not sure of the answer... SLE or JRA???
Lets try to come to a conclusion... and please EXPLAIN your answer, thanks.
a 17-year-old girl has had general malaise and progressive intermittent pain in the knees over the past 6 weeks. She has a history of mouth ulcers. She is using hydrocortisone cream to treat a rash on her cheeks. Lab show:
Hb 7.2g/dl
Hct 31%
Leuk 21000/mm3
Plt 37,000/mm3
a. gonococcal arthritis
b. juvenile rheumatoid arthritis
c. lyme disease
d. psoriatic arthritis
e. reiter syndrome
f. SLE
I go for F. SLE due to the clue: rash on cheeks.
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| nadiabarati
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SLE
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| robin082006
Forum Hero
Topics: 471
Posts: 5,123
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SLE
this patient has typical SLE's:
- young femalerthritis (joint pain)
- pancytopenia
- mouth ulcer
- erythema
a. gonococcal arthritis : must have history and symptoms of PID
b. juvenile rheumatoid arthritis: similar manifestation, but erythema and pancytopenia are rare
c. lyme disease: rash and arthritis, but pancytopenia is rare
d. psoriatic arthritis: arthritis, scaly skin signs
e. reiter syndrome: urethritis, arthritis, conjunctivitis
f. SLE: most suitable
- a
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| DrVirgo
Forum Hero
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Posts: 3,515
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Good. I agree. 
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