BL624 Immunology Case Study

SLE diagnosis is made on 4 findings present at the same time or in a series. 11 common findings include: malar rash, disc shaped rash, photosensitivity, oral ulcerations, nonerosive arthritis, serositits, presence of ANA, and renal, neurologic, hematologic, and immunologic disorders. The X-ray finding is also significant, because the inflammation without erosion of the joints is a key finding in SLE. Other labs (like those listed above) are used in combination to also aid in diagnosis of SLE.

Patient 1 has a negative diagnosis, as all the cells are lower than 33%. Their average nuclear to cytoplasmic ratio was 13.32%, which is the lowest overall and is below 33%. This means patient 1 is not required to have any further tests done. They will just need to come for screening tests every 3 years. Patient 1’s cells were all blue, which means only a haematoxylin stain, was used. The blue indicates nuclei.

If one has or has had at least four of the preceding conditions, there is a strong chance that they may have lupus. Common symptoms of lupus as described by the Lupus.org website also include edema in the legs, feet, hands, and around the eyes, hair loss, abnormal blood clotting, Raynaud’s phenomenon, and painful or swollen joints. In a 2002 article from the journal Rheumatology about the long term complications of SLE, it is stated that although the

Laboratory: CK 41, aldose 5.7, CCP 5, rheumatoid factor 10.8, ANA negative, ANCA is less than 1:20, P-ANCA less than 1:20, hypersensitivity pneumonitis panel is negative, anti-Jo-1 is less than 0.2, scleroderma antibody is less than 0.2, IDE total 5. CBC within normal limits.

In the case of diseases such as the DiGeorge syndrome, the immune system activity is not functioning properly due to the abnormal development of the thymus gland inducing a minimized production of T Cell. Whereas, in another case such as asthma, the immune system is overreacting. The other possibility of abnormality of the immune system is the impossibility for it to make a difference between invaders and the body’s cell causing the immune system to attack itself, those are the autoimmune diseases such as multiple sclerosis.1

The unique symptom of lupus can be the butterfly rash and red patches on the patient's face, yet other symptoms can be easily misdiagnosed because it "often mimics those of other ailments."(3) Some of the symptoms affect the skin, brain, and joints. Skin symptoms can be rashes, unusual hair loss, or swelling in the leg or around the eyes. Furthermore, brain symptoms can be confusion, memory disturbances, and seizures. For the joints, pain and swellings can be

Most know Systemic Lupus Erythematosus (SLE) as simply lupus. It is difficult to diagnose and treat but the symptoms can be mentally and physically devastating for any patient. Many may not realize the extent to which a person with SLE is affected on a day to day basis. It is important for healthcare professionals to understand the disease process, including the cause, signs, symptoms, and treatment of SLE. By understanding the aforementioned, healthcare professionals can assist with reporting signs and symptoms to the patient’s doctor to further reach a correct diagnosis, but to provide holistic care to the patient. SLE is a heterogeneous autoimmune disease which means the body’s immune system fallaciously attacks healthy tissues and various organs, in this case, primarily the skin , joints, kidneys, and brain of both men and women.

SLE is a systemic autoimmune disease, where the body’s immune system wrongly attacks healthy tissue, and affects many of the internal organs in the body. SLE is most likely to damage the heart, skin, lungs, kidneys, joints, blood vessels, liver, and nervous system. SLE is a chronic inflammatory disease understood to be type III hypersensitivity responses, with some type II hypersensitivity involvement. Jillian’s complete blood count revealed she has low red blood cell and hemoglobin levels. Her result was 2.8 cells/mcL while the reference range is 3.90-5.03 cells/mcL for red blood cell count and 10.0 g/dL while the reference range is 12.0-15.5 g/dL for hemoglobin, resulting in anemia. With Type II hypersensitivity and hemolytic anemia, IgM antibodies bind to red blood cells and causes the agglutination of the red blood cells, resulting in a low red blood cell count. Hemolytic anemia explains Jillian’s symptoms of fatigue and shortness of breath. An indirect consequence of hemolytic anemia is the splenomegaly and pre-hepatic jaundice. The red blood cell breakdown and excretion of bilirubin resulted in Jillian’s high bilirubin total count in the blood chem panel, her value was 2.1 MG/DL when the average reference range is 0.2-1.3 MG/DL. With type III hypersensitivity immune

Makover, M. & Zieve, D. (2011, February 14). Systemic Lupus Erythematosus. National Center for Biotechnology Information. Retrieved July

Systemic Lupus Erythematosus, or Erythematous, also known as SLE, is a chronic inflammatory, autoimmune disease that transpires when the body’s own immune system assaults, with “variable manifestations”, it’s own tissues and organ systems throughout the itself1,2,3. This can also include joints, heart, lungs, skin, brain, blood cells, etc1. Systemic Lupus Erythematosus is known to have an impact on the organ network involved with immune complexes and multiple antibodies, especially antinuclear antibodies, or ANAs, an abnormal antibody that is targeted to cause certain edemas throughout the body and different tissues4.

Lupus also known as the systemic lupus erythematosus (SLE), is an autoimmune disease which signifies that the body’s immune system attacks the healthy tissues and organs by mistake. Lupus can affect any parts of the body including skins, joints, kidneys, blood vessels and as well as cause large inflammations in the organs that are affected by the disease. When an individual is diagnosed with Lupus, their immune system becomes hyperactive and begin to attack normal healthy tissues. The immune system makes antibodies which help fights against bacteria and viruses. Lupus cause the immune system to not able to distinguish between antigens and healthy tissues. As a result of not being able to distinguish between antigens and healthy tissues, the immune system starts to direct antibodies against healthy tissues. Lupus can be mild

Systemic lupus erythematosus (SLE) is an autoimmune disease that affects multiple tissues and systems and with significant variable clinical features and organ involvement (Cava, 2010). It is characterized by a chronic, relapsing, inflammatory and often febrile multisystemic disorder of connective tissue with wide spectrum of involvement of skin, joints, kidneys and serosal membranes. The exact etiology is noknown, but it represents failure of the regulatory mechanisms of immune system in which body 's own defenses are turned against themselves (Edworthy, 2005##########).

Since SLE does have similar symptoms to other autoimmune diseases, it’s difficult for doctors to diagnose it. There are some symptoms only patients with SLE get, which include; an “oval shaped rash”formed on the face and a “butterfly shaped rash” (Thomas) appearing on the cheeks and nose.

SLE or Systemic Lupus Erythematosis is not easy to say, and even more difficult to diagnose and live with. The patient and medical provider’s goal is to find the most effective treatment plan for each individual patient to manage the symptoms with which they are presenting. This evolves over time through working at maintaining a balance between preventing flares and the potentially life-threatening organ damage they can cause, while maintaining quality of life and minimizing the side effects that can come from various

Lost self-resistance causes autoimmunity in which the atypical insusceptible framework assaults the sound cells and tissues, prompting interminable aggravation. The immune system requires a strict balance of stable and reversible gene expression to maintain the normal function of immune cells and to ward off the development of autoimmune diseases. A gain of autoreactivity in immune cells as well as a loss of suppressive functions in regulatory T cells (Tregs) has been suggested to be implicated in the autoimmune pathogenesis. Recently, it has been demonstrated that not only genetic and environmental factors but also epigenetic changes are involved in the etiology of autoimmune diseases. Epigenetic mechanisms, such as histone modifications,