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Gonococcal arthritis in two patients with active lupus erythematosus. A diagnostic problem

✍ Scribed by John S. Edelen; Michael D. Lockshin; E. Carwile LeRoy


Publisher
John Wiley and Sons
Year
1971
Tongue
English
Weight
217 KB
Volume
14
Category
Article
ISSN
0004-3591

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✦ Synopsis


Two patients with active systemic lupus erythematosus (SLE) developed polyarthritis which was documented to be due to gonococcal infection. One patient simultaneously had LE cells and intracellular diplococci in her synovial fluid. Similarities and differences between SLE and gonococcal arthritis are discussed. The coincidence of SLE and gonococcal arthritis reemphasizes bacteremias as a curable cause of polyarthritis in patients with SLE.


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Objective. To determine the degree to which changes in C3 and C4 precede or coincide with changes in systemic lupus erythematosus (SLE) activity, as measured by 5 global activity indices, the physician's global assessment (PGA), modified SLE Disease Activity Index (M-SLEDAI), modified Lupus Activity