UNIVERSITAS AIRLANGGA



Detail Article

Folia Medica Indonesiana

ISSN 0303-7932

Vol. 42 / No. 4 / Published : 2006-10

Order : 7, and page :240 - 248

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Original Article :

Clinical manifestation of systemic lupus erythematosus mimicking tuberculosis in a 4 year-old child

Author :

  1. Nur Aisyah Wijaya*1
  2. Ariyanto Harsono*2
  1. Department of Pediatrics, Airlangga University School of Medicine Dr. Soetomo Teaching Hospital, Surabaya
  2. Department of Pediatrics, Airlangga University School of Medicine Dr. Soetomo Teaching Hospital, Surabaya

Abstract :

A 4-year old girl was admitted to hospital with the main complaint of fever, cough, lost of appetite, and decreased body weight since 6 months. Physical examinations revealed anemic, firm and non tender multiple lymph node enlargements on cervical and axillary’s region with dimension of 1x1 cm. There were moist rales and wheezing on both lungs. The abdomen was distended; ascites and edema of extremities were found. Chest x-ray showed diffuse lung infiltrates, cardiothoracic ratio was 51 %. The sequence of events fulfilled the diagnosis of tuberculosis using the criteria of tuberculosis of Respirology Working-group unless otherwise Fine needle aspiration, PCR and acid-fast bacilli showed no tuberculosis. Further exploration showed fulfillment 6 out of ARA criteria of SLE. Treatment with methyl prednisolon and prednisone resulted in good improvement of symptoms.

Keyword :

SLE, tuberculosis, prednisolon, prednisone,


References :

G Apley,(1993) Infection Oxford : Butterworth-Heinemann Ltd.

L Solomon,(1993) Infection Oxford : Butterworth-Heinemann Ltd.

V Batra,(2004) Tuberculosis no info : http://www.emedicine.com/med/topic 1762.htm

J Ang,(2004) Tuberculosis no info : http://www.emedicine.com/med/topic 1762.htm

HM Belmont,(1998) Lupus nephritis: The treatment issues no info : Lupus

S Benseler,(2005) Systemic Lupus Erythematosus no info : Pediatr Clin N Am

E Silverman,(2005) Systemic Lupus Erythematosus no info : Pediatr Clin N Am

J Font,(1998) Systemic lupus erythematosus (SLE) in childhood: analysis of clinical and immunological findings in 34 patients and comparison with SLE characteristics in adults no info : Am Rheum Dis

R Cervera,(1998) Systemic lupus erythematosus (SLE) in childhood: analysis of clinical and immunological findings in 34 patients and comparison with SLE characteristics in adults no info : Am Rheum Dis

G Espinosa,(1998) Systemic lupus



Archive Article

Cover Media Content

Volume : 42 / No. : 4 / Pub. : 2006-10
  1. Dna Isolation From Sweat Stain In Clothes As Forensic Identification Material
  2. Effect Of Low Intensity Exercise On Glucose Intolerance In The Depo Medroxyprogesterone Acetate (dmpa) Injected Rat
  3. The Role Of Care, Support And Treatment To Biological Parameters And Clinical Changes Of Plwha In Idicu
  4. The Effect Of Melanin Concentration On Collagen Accumulation In Keloid
  5. The Effects Of Exercise Response On Creatine Kinase In White Wistar Rats
  6. New Paradigm In Oral Focal Infection: Periodontal Disease As An Etiology Of Migraine-anxiety Related Dizziness (mard)
  7. Clinical Manifestation Of Systemic Lupus Erythematosus Mimicking Tuberculosis In A 4 Year-old Child
  8. Case Report: Staphylococcal Scalded Skin Syndrome In A Neonate
  9. Review Article: Hand Deformities In Rheumatoid Arthritis
  10. Review Article: Screening And Management Of Retinopathy Of Prematurity
  11. Review Article And Clinical Experience: Thyroid Storm: A Life-threatening Thyrotoxicosis Therapeutic Clinical Experiences With Formula Ts 41668-24-6

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