Lupus is a shortened name for Systemic Lupus Erythematosus
or SLE. Your physician is acting on a suspicion and needs to gather evidence. SLE can affect many parts of the body. The criteria for determining if your daughter has SLE involves several observations.
1. Malar rashes, a butterfly-patterned rash over the nasal bridge of her nose and onto the cheeks.
2. Discoid rash
, a raised rash in a roughly circular pattern.
, a rash in reaction to ultra-violet light.
4. Oral and nasopharyngeal ulcers that must be observed by a physician.
5. Arthritis, in 2 or more joints characterized by swelling, tenderness, or effusion.
6. Serositis, pleuritis or pericarditis
which is inflammation of the lungs or heart.
7. Renal disorder
, characterized by proteinurea or castings.
8. Neurological symptoms, seizures or psychosis without other causes.
9. Blood disorders characterized by anemia and other signs.
10. Immunological disorders defined by blood testing.
11. Antinuclear antibodies
that are detected by blood testing.
Any combination of 4 or more of the above criteria makes it more likely that the patient has SLE. If you are concerned with the care your OB/GYN physician is giving your daughter, a second opinion
is your right. I recommend a physician who deals in rheumatologic diseases and sees a great deal of SLE in their practice.