MD SOAP BRAIN
- Malar rash – butterfly rash, sparing of nasolabial folds
- Discoid rash – basement membrane involved, may cause scarring
- Serositis – pleuritis/pericarditis
- Oral ulcers
- Antinuclear antibody (ANA) – very sensitive test
- Photosensitivity – skin rash to sunlight
- Blood – haemolytic anaemia, leukopaenia, thrombocytopaenia
- Renal disorder – proteinuria and cell casts
- Arthritis – symmetrical, involving 2+ small or large peripheral joints
- Immunological disorder – anti-dsDNA
- Neurological – seizures, psychosis
American College of Rheumatology, 1997: requires 4 out of 11
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