Ouli Maty
Forum Elite
Topics: 33
Posts: 275
|
A 29 y/o African woman complains about fever, weight loss , joint pain and depression. Her history is positive of TB treatment two years ago.
Examination reveals a malar rash, and a palor.
Her Ht is 29 and she has RBC cast on urine analysis.
What is the most likely diagnosis?
A- TB reactivation
B- Drug-induced lupus
C- SLE
D-Glomerulonephritis
___________________
deep breathing...
|
| jb00727
Forum Elite
Topics: 82
Posts: 190
|
SLE
|
| meg
Forum Guru
Topics: 62
Posts: 806
|
B. did the INH cause the drug induced lupus?
|
| mahendra
Forum Guru
Topics: 173
Posts: 419
|
its b
|
| zaki
Forum Guru
Topics: 92
Posts: 398
|
its seems like drug induce lupus but drug inducse lupus rarely involve kidneys and its appearance after 2yrs after tb tx seems unlikely and i think its a distractor in the qs
reactivation of tb mostly take place in lungs and not involves joints(usually) and and kidneys as often as primarily in lungs.
so after the exclusion i left with the SLE.
so my answer is SLE
___________________
Maverick
|
| Ouli Maty
Forum Elite
Topics: 33
Posts: 275
|
I agree with you Zaki.
___________________
deep breathing...
|
| BellKicker
Forum Junior
Topics: 3
Posts: 49
|
Zaki is right that drug-induced lupus rarely affects the kidneys.
I'll be curious to hear the answer.
___________________
Gotta have heart.
|
|
| |
| | | | | | | |
