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Question |
I have a female pt aged 2 yrs weighing 10kg.She is born to nonconsanguinous parents.She is suffering from malar rash since infancy.Her investigations report are as follows: ANA - +ve dsDNA -ve anticardiolipin ab +ve RAsso +ve RAllb -ve C3 &C4 normal Basing on the clinical and lab findings I have diagnosed her to have SLE.Further investigation do not reveal any other organ except skin involved at present. WHAT IS THE LINE OF MANAGEMENT ? What medicines to be used? What are the doses? How long to use? Chloroquin or steroid or both? Doses and duration? Any newer developed medicines? Kindly give reply in detail.
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Answer |
It is quite unusual to have a patient with active SLE with positive ANA and normal C3. Also 2 years of age is young age of onset. You need to reverify your diagnosis of SLE before you decide to treat her. Take a skin opinion and rheumatolog opinion.
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