Case #12

Final Diagnosis

Mrs. Hobbley took the news relatively well when told of her diagnosis. She was told of the emotional support group for patients with lupus and would talk to her family about joining the group. Mrs. Hobbley's anti-hypertensive medication was changed to an ACE inhibitor. She was initially placed on NSAIDs and noted some improvement in her symptoms. As she desired more aggressive treatment, she was placed on 10 mg of prednisone a day and noted markedly improvement in her joint pains. The topical administration of a corticosteroid was successful in relieving her malar rash.

References

Literature:

  1. Pisetsky DS, Gilkeson G, St. Clair EW. Systemic Lupus Erythematosus: Diagnosis and Treatment. Advances in Rheumatology 1997; 81: 113-128.
  2. Petri M. Treatment of Systemic Lupus Erythematosus: An Update. American Family Physician 1998; 57: 2753-2760.
  3. Moder KG. Use and Interpretation of Rheumatologic Tests: A Guide for Clinicians. Mayo Clinic Proceedings 1996; 71: 391-396.
  4. McCowan CB. Systemic Lupus Erythematosus. Journal American Academy of Nurse Practitioners 1998; 5: 225-231. 

Textbooks:

  1. Harrision's Principles of Medicine
  2. Primer on Rheumatic Disease
  3. Current Medical Diagnosis and Treatment -199.
     

Authors:

Joshua M. Berlin, M.D.
PSU College of Medicine Class of 1999
Resident in Dermatology
Cleveland Clinic Foundation

Shou Ling Leong, M.D.
Assistant Professor
Department of Family & Community Medicine
Penn State University College of Medicine
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