Management of Pregnant Lupus

Alosaimi, Hanan; Yelamanchili, Suvarnaraju

doi:10.5772/38898

Cited by 1 publication

(1 citation statement)

References 59 publications

(37 reference statements)

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“…Early diagnosis of SLE is not easy because the course of the disease is very varied and often manifests as other diseases. 11 Autoimmune diseases including SLE, especially where immunosuppressive drugs are required based on disease activity, can increase the risk of TB. In SLE patients there is an abnormality of the immune system and the patient is receiving an immunosuppressant agent as therapy.…”

Section: Discussionmentioning

confidence: 99%

Case Report: Tuberculosis lymphadenitis with systemic lupus erythematosus in a young woman: a case report

Arliny,

Yanifitri,

Utami

et al. 2023

F1000Res

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Background: Tuberculosis is a chronic infectious disease and can be categorised into pulmonary TB and extra-pulmonary TB based on its spread. TB lymphadenitis is one of the extra-pulmonary TB diseases. Patients with a weakened immune system in systemic lupus erythematosus (SLE) have an increased incidence of TB. Case: Here we present a case report of a 21-year-old female patient with SLE diagnosed with tuberculous lymphadenitis at dr. Zainoel Abidin Hospital, Banda Aceh, Indonesia. The patient complained of a lump in the right neck 4 months ago with a diameter of 4 cm, accompanied by fever, decreased appetite, and weight loss. Other than that, the patient also experiences joint pain, hair loss and sun sensitivity since 12 months ago. Chest radiography showed no abnormalities, and fine-needle aspiration biopsy results confirmed tuberculous lymphadenitis. Antinuclear antibody test was borderline. The patient had been taking steroids and hydroxychloroquine for the past 10 months. Currently, the patient is taking the advanced phase of antituberculosis drugs FDC. After undergoing the intensive phase of antituberculosis drugs, the submandibular lump got smaller to a diameter of 2 cm. Conclusion: TB lymphadenitis is a rare case but can occur in conditions of decreased immunity like SLE. It involves some of the immune disorders caused by the long-term use of immunosuppressive therapy.

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Section: Discussionmentioning

confidence: 99%