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Salma with facial rash

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Mind Map on Salma with facial rash, created by Zainab Kamal on 03/17/2019.
Zainab Kamal
Mind Map by Zainab Kamal, updated more than 1 year ago
Zainab Kamal
Created by Zainab Kamal over 7 years ago
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Resource summary

Salma with facial rash
  1. salma 26 yrs with low grade fever & fatigue with rash on her face & chest
    1. rash worsened following vacation in Caribbean
      1. aching & stiffness in joints of hands
        1. painless ulcers in the mouth
          1. patchy alopecia butterfly rash on face
            1. CBC: low HB, Hct, high ESR
              1. urinalysis traces of protein & RBCs, hyaline cast
                1. diagnosed with SLE with Rheumatic disease features
                  1. CBC: high ANA, ANTI-SMITH, Thyroglobulin abs, IgG. low CH50, C3,C4
                    1. Prescribed prednisone, NSAID
                      1. auto AB in SLE
                        1. cardiolipin
                          1. thrombosis, fetal loss
                          2. histones
                            1. drug induced lupus
                            2. Ro & La
                              1. cutaneous & neonatal lupus
                              2. sm
                                1. nephritis & CNS Diseases
                                2. dsDNA
                                  1. rash of nephritis, disease activity
                                  2. RNP
                                    1. mixed CT disease
                                3. CT disease
                                  1. scleroderma
                                    1. sjogre's syndrome
                                      1. myositis/ dermatomyositis
                                      2. systemic Autoimmune
                                        1. rheumatic fever
                                          1. SLE
                                            1. Reiter syndrome
                                              1. polyarteritis nodosa
                                            2. kidney involvement
                                              1. gross hematuria
                                                1. nephrotic syndrome
                                                  1. acute renal failure
                                                    1. HTN
                                                      1. end stage renal failure
                                                    2. lab features
                                                      1. anemia
                                                        1. leucopenia
                                                          1. thrombocytopenia
                                                            1. high ESR/CRP
                                                          2. alopecia
                                                            1. erythema exacerbated with sun exposure
                                                              1. maculopapular eruption
                                                              2. oral manifestation
                                                                1. ulceration
                                                                  1. xerostomia
                                                                    1. pain
                                                                      1. erythema
                                                                        1. hyperkeratosis
                                                                      2. joint involvement
                                                                        1. arthralgia
                                                                          1. symmetrical, non-erosive
                                                                            1. jaccoid's arthropathy
                                                                              1. nodules
                                                                            2. risk factors
                                                                              1. female
                                                                                1. age btw 15-44
                                                                                  1. African american
                                                                                    1. family history
                                                                                      1. genetic factors
                                                                                    2. Signs & symptoms
                                                                                      1. skin rash
                                                                                        1. arthralgia
                                                                                          1. unexplained fever
                                                                                            1. arthritis
                                                                                              1. fatigue

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