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Immune-Mediated Rheumatic Diseases

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Challenging Cases in Allergy and Immunology
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Abstract

Systemic lupus erythematosus (SLE) is the prototypical human, autoimmune disease and is characterized by immune dysregulation, production of autoantibodies, generation of circulating immune complexes, and activation of the complement system. SLE is notable for unpredictable exacerbations and remissions with a predilection for clinical involvement of joint, skin, kidney, brain, serosa, lung, heart, hematological system, and gastrointestinal tract (Wallace, The clinical presentation of systemic lupus erythematosus. In: Wallace D and Hahn B, Eds. Dubois’ Lupus Erythematosus, Lippincott Williams & Wilkins, Hagerstown, MD, 2006, pp. 621–628) (Table 19.1). The pathological hallmark of SLE is recurrent, widespread, and diverse vascular lesions including both inflammatory and thrombotic vasculopathy, the latter most often occurring in the setting of antiphospholipid antibodies. Cases related to the presentation and management of SLE are discussed (Belmont and Abramson, Arthritis and Rheumatism 39:9–23, 1996).

Table 19.1 Major clinical manifestations of systemic lupus erythematosus by organ system

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References

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Correspondence to H. Michael Belmont .

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Belmont, H.M. (2009). Immune-Mediated Rheumatic Diseases. In: Mahmoudi, M. (eds) Challenging Cases in Allergy and Immunology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-60327-443-2_19

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  • DOI: https://doi.org/10.1007/978-1-60327-443-2_19

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