Diagnosis of systemic lupus can take many years. Even then, it is sometimes only diagnosed by autopsy.
It can help to keep on going to the same rheumatologist because switching doctors might only serve to further delay a diagnosis. It takes awhile (sometimes years or even decades) for certain symptoms to appear — and the accumulated symptoms may be quickly dismissed by a new doctor because they haven't personally witnessed them. (Also see Autoimmune Diseases and Overview of Lupus)
The diagnosis and management of the haematologic manifestations of lupus (SLE). In this review the most common and characteristic haematological manifestations of SLE patients are considered, focusing on their pathogenesis and management. PubMed, J Autoimmun, 2016 Nov;74:139-160.
Omics studies: their use in diagnosis and reclassification of systemic lupus erythematosus (SLE) and other systemic autoimmune diseases (SADs). This review summarizes the omics findings for SLE and propose ways of using the data for the identification of new biomarkers, finding new drugs and reclassifying patients not only with SLE, but also with other SADs. Rheumatology, 10/19/2016.
Effect of gender on clinical presentation in systemic lupus erythematosus (SLE). The incidence of SLE is markedly increased in females of child-bearing age and males experience less of the typical mucocutaneous and musculoskeletal symptoms commonly present at diagnosis in women. Rheumatology, 52 (12): 2108-2115, May 2, 2013.
(Case Reports): Indicating the dilemma in diagnosing lupus cerebritis. Lupus Cerebritis should be included in the provisional diagnosis of a female patient of reproductive age group, who presents with complicated neurological manifestations and with no clear-cut clinical, pathological, or image finding. PubMed, J Family Med Prim Care.
Lupus Diagnosis Can Be Difficult. Lupus Foundation of America.
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