JXUwMDFjJXUwMDM2JXUwMDUyJXUwMDc0JXUwMDNkJXUwMDA0JXUwMDRkJXUwMDYyJXUwMDI3JXUw
MDA5JXUwMDAw
JXUwMDFhJXUwMDIzJXUwMDE1JXUwMDFjJXUwMDQ4JXUwMDcwJXUwMDNmJXUwMDAzJXUwMDE1JXUw
MDFhJXUwMDBmJXUwMDA1JXUwMDA3JXUwMDA3JXUwMDBhJXUwMDEw
JXUwMDFlJXUwMDI3JXUwMDBjJXUwMDA0JXUwMDA1JXUwMDE1JXUwMDU5JXUwMDY4JXUwMDJkJXUw
MDA0JXUwMDBkJXUwMDE4JXUwMDFjJXUwMDQ4JXUwMDYzJXUwMDIyJXUwMDEzJXUwMDE3JXUwMDQ1
JXUwMDYzJXUwMDI2JXUwMDBiJXUwMDFhJXUwMDA2JXUwMDE3
JXUwMDZlJXUwMDE2JXUwMDcwJXUwMDM5JXUwMDA3JXUwMDBiJXUwMDQ1JXUwMDZjJXUwMDJkJXUw
MDBmJXUwMDBi
JXUwMDY5JXUwMDAxJXUwMDEwJXUwMDZmJXUwMDJlJXUwMDBhJXUwMDRiJXUwMDZjJXUwMDJkJXUw
MDBmJXUwMDBi
JXUwMDFhJXUwMDIzJXUwMDE1JXUwMDFjJXUwMDQ4JXUwMDYyJXUwMDAzJXUwMDcw
JXUwMDFhJXUwMDIzJXUwMDE1JXUwMDFjJXUwMDQ4JXUwMDYyJXUwMDAzJXUwMDcz
JXUwMDBkJXUwMDFl
JXUwMDBkJXUwMDFl
JXUwMDY5JXUwMDA3JXUwMDE2JXUwMDYxJXUwMDMxJXUwMDAyJXUwMDUyJXUwMDEyJXUwMDAyJXUw
MDAxJXUwMDA0
JXUwMDFjJXUwMDIxJXUwMDA0JXUwMDEz
Dr. Bell,
Thank you for
JXUwMDJhJXUwMDE3JXUwMDAzJXUwMDAzJXUwMDE3JXUwMDAwJXUwMDFiJXUwMDA3JXUwMDA5
this unusual
JXUwMDNiJXUwMDAyJXUwMDEyJXUwMDE2
of a 23-year-old
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patient of African
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who
JXUwMDJmJXUwMDE2JXUwMDEyJXUwMDUzJXUwMDU0JXUwMDE1JXUwMDBhJXUwMDBlJXUwMDBi
to the emergency department because of unbearable
JXUwMDMyJXUwMDA1JXUwMDA2JXUwMDA3JXUwMDFhJXUwMDU0JXUwMDUwJXUwMDExJXUwMDA4JXUw
MDA3
and
JXUwMDJiJXUwMDE4JXUwMDAyJXUwMDA3JXUwMDRlJXUwMDUyJXUwMDEzJXUwMDEyJXUwMDFi
. In the past
JXUwMDNiJXUwMDBjJXUwMDFhJXUwMDA1JXUwMDFjJXUwMDA5JXUwMDQ1JXUwMDRmJXUwMDA5
weeks she has
JXUwMDNlJXUwMDE0JXUwMDE3JXUwMDE0JXUwMDA0JXUwMDEwJXUwMDBiJXUwMDFhJXUwMDE4JXUw
MDE1
had
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fever, has become
JXUwMDM1JXUwMDAyJXUwMDFkJXUwMDE3JXUwMDQ1JXUwMDQxJXUwMDBmJXUwMDBhJXUwMDQ0JXUw
MDRkJXUwMDAyJXUwMDFkJXUwMDE3
tired and weak and
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MDAzJXUwMDFmJXUwMDE1JXUwMDAx
a severe headache, weight
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and
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hear loss. She has also
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MDAxJXUwMDQ0JXUwMDRmJXUwMDA5
having night
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.
I
JXUwMDM5JXUwMDA2JXUwMDE1JXUwMDE3JXUwMDAwJXUwMDQ1JXUwMDU3JXUwMDFlJXUwMDFkJXUw
MDFj
your
JXUwMDI4JXUwMDAyJXUwMDE3JXUwMDA5JXUwMDA1JXUwMDA0JXUwMDA0JXUwMDA3JXUwMDBmJXUw
MDEzJXUwMDBi
diagnosis of
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MDRjJXUwMDE5JXUwMDA1JXUwMDA1JXUwMDA2JXUwMDUzJXUwMDQ1JXUwMDE3JXUwMDBiJXUwMDBk
JXUwMDFjJXUwMDBkJXUwMDA4JXUwMDBjJXUwMDE1JXUwMDFiJXUwMDFjJXUwMDA2JXUwMDA2
(SLE), which is an
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MDBi
disease.
JXUwMDFlJXUwMDMzJXUwMDA3JXUwMDA2JXUwMDFjJXUwMDBkJXUwMDE3
thorough examination is
JXUwMDM2JXUwMDBiJXUwMDA2JXUwMDA2JXUwMDE2JXUwMDAwJXUwMDEyJXUwMDEzJXUwMDBi
in such a case.
You have to
JXUwMDNhJXUwMDA3JXUwMDA0JXUwMDEzJXUwMDUyJXUwMDQ5JXUwMDA3JXUwMDRlJXUwMDRkJXUw
MDA0JXUwMDA3JXUwMDBh
that SLE
JXUwMDMxJXUwMDFhJXUwMDUzJXUwMDQzJXUwMDBiJXUwMDA5JXUwMDEzJXUwMDEzJXUwMDAyJXUw
MDE3JXUwMDExJXUwMDE3JXUwMDFiJXUwMDFhJXUwMDE2JXUwMDAx
by
JXUwMDJhJXUwMDE3JXUwMDA2JXUwMDE2JXUwMDA3JXUwMDAwJXUwMDE3JXUwMDBiJXUwMDFh
fever, weakness,
JXUwMDNlJXUwMDA3JXUwMDE1JXUwMDFkJXUwMDBlJXUwMDEyJXUwMDEw
, general
JXUwMDM1JXUwMDBjJXUwMDBkJXUwMDBkJXUwMDA4JXUwMDFhJXUwMDE2
,
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MDBiJXUwMDA4
, skin
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, and hair loss.
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the skin and the joints, SLE
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MDQxJXUwMDA3JXUwMDAwJXUwMDAzJXUwMDA2JXUwMDE3
several other organs, e.g. the kidneys, the heart and the
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MDBjJXUwMDExJXUwMDFkJXUwMDBh
organs.
It should be
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MDExJXUwMDAx
that the
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of SLE is nine times
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high in the African and Asian populations
JXUwMDM5JXUwMDEy
in other ones.
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characteristic clinical sign of the disease is the
JXUwMDM5JXUwMDExJXUwMDAwJXUwMDE1JXUwMDA0JXUwMDEzJXUwMDEzJXUwMDBmJXUwMDBkJXUw
MDA2
of antinuclear
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MDBkJXUwMDBiJXUwMDBkJXUwMDBjJXUwMDE2
and
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against other antigens in the blood.
I
JXUwMDJmJXUwMDFlJXUwMDFhJXUwMDFiJXUwMDQ4JXUwMDU0JXUwMDFiJXUwMDRmJXUwMDUzJXUw
MDA3JXUwMDA2JXUwMDE3JXUwMDE2JXUwMDAw
the fact that
JXUwMDNjJXUwMDAxJXUwMDE2JXUwMDAzJXUwMDE5JXUwMDFkJXUwMDEx
the gradually improving treatment options, SLE
JXUwMDJiJXUwMDA3JXUwMDFkJXUwMDA1JXUwMDAw
cannot be
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.
It is
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avoid unnecessary medication. The most important therapy
JXUwMDMxJXUwMDFhJXUwMDUzJXUwMDQyJXUwMDAzJXUwMDEyJXUwMDE2JXUwMDAxJXUwMDQ0JXUw
MDRmJXUwMDAx
lessening the increased immune activity,
JXUwMDJhJXUwMDE3JXUwMDAxJXUwMDExJXUwMDE2JXUwMDBhJXUwMDA3JXUwMDA5
the symptoms, and in
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case of
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to organs, organ
JXUwMDJiJXUwMDA2JXUwMDA1JXUwMDAwJXUwMDFmJXUwMDFkJXUwMDA2JXUwMDFkJXUwMDFmJXUw
MDEz
measures should be taken. The treatment strategy should be
JXUwMDM5JXUwMDA1JXUwMDA1JXUwMDExJXUwMDA0JXUwMDExJXUwMDAxJXUwMDQ0JXUwMDU0JXUw
MDFi
the actual clinical presentation of the patient.
Yours
JXUwMDJiJXUwMDFhJXUwMDA3JXUwMDBkJXUwMDA2JXUwMDE3JXUwMDE3JXUwMDA5JXUwMDE1
,
Dr Ede Bor