Lupus Flashcards
What are the types of Lupus?
discoid
systemic
What is systemic lupus erthmatosis?
this is a multisystem immune complex disorder
more commonly seen in black and asian middle aged
more commonly seen in females
What parts of the body are affected in SLE?
mutlisystem
organs: kidney, lungs, joints, heart, brain
Mucosal tissues
What immunological features do the blood tests show in SLE?
RF (30%)
hypergammaglobunaemia
hypocomplemetnamia
AntiDNA (90%)
What is the type of lupus which only affects the skin?
discoid
What percentage of the time do you see oral lesions in DLE?
25%
Where do the immune complexes become lodged in SLE?
in the vessels
What are the antibodies in SLE against?
dsDNA
What is the effect of the immune complexes in the kidney?
Leads to nephrotic syndrome and kidney failure
What is the effect of the immune complexes on the heart and lungs?
Endocarditis, pneuminitis, epicarditis, pericardidits
What is the effect of immune complexes in joints?
arthralgia and arthrits
What is the effect of the immune complexes on the skin?
butterfly rash and lichen planus type lesions
WHat percentage of people with SLE suffer fro eye problems?
25%
retintits and conjuctivits
How do you manage SLE?
bipody and bloods
What type of histopathoology analysis do you do for the bipsied tissues?
fixed tissue: histopath
frozen tissue: DIF