Saturday, August 10, 2013

SLE - Challenges in management in pregnancy

1. Differentiating signs and symptoms of normal pregnancy from those of exacerbations SLE
2. Differentiate malar rash from chloasma
3. Differentiate proteinuria secondary to preeclampsia from proteinuria due to lupus nephritis. Lupus nephritis is often associated with proteinuria and cellular casts whereas only proteinuria is seen in patients with preeclampsia.
4. Differentiating renal disease secondary to an exacerbation of SLE from preeclampsia.
5. Differentiating thrombocytopenia in pregnancy from thrombocytopenia of SLE exacerbation

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