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Query: UMLS:C0024141 (
systemic lupus erythematosus
)
44,322
document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)
Using IgG from rabbit antiserum to human
MAC
neoantigens and SC5b-9, we established a sandwich ELISA for detecting SC5b-9 levels in human plasma. SC5b-9 was measured in 51 normal plasma samples and 40 plasma samples from patients with
SLE
. We found that SC5b-9 levels in 96.1% of the controls and in 78.9% of the patients with inactive
SLE
were below 450 ng/ml, while SC5b-9 levels in 81.0% of the patients with active
SLE
were above 450 ng/ml. This shows that SC5b-9 levels may be useful for diagnosing patients with clinically active
SLE
.
...
PMID:[ELISA for detection of SC5b-9 levels in plasma and its clinical significance in SLE disease]. 816 11
Deficiencies of individual complement proteins may be accompanied by
SLE
or related syndromes. Deficiencies of the classic activation pathway are often involved. In cases of C4 and C2 deficiency, there is evidence that this association occurs more frequently than would be expected by chance. The clinical picture differs from classic
SLE
. There is an increased frequency of skin involvement, a decreased frequency of renal disease, low or absent levels of antibody to native DNA, and increased levels of anti-Ro (SS-A). The mechanism for the association probably involves the effects of C3 and C4 on the precipitation of immune complex solubility, or on their processing through cell surface c4b/c3b receptors on phagocytes. Disseminated or recurrent Neisseria infections are common in patients lacking the constituents of the terminal
MAC
that are important in killing these organisms.
...
PMID:Rheumatic diseases and inherited complement deficiencies. 868 May 30
We describe a 56-year-old woman with
Mycobacterium avium complex infection
of the skin. She presented with a granulomatous plaque studded with pustules and crusts on the cheeks and bridge of the nose. The appearance resembled
lupus
vulgaris. The lesion responded well to antituberculous treatment within 9 months. An association of
Mycobacterium avium complex
with squamous cell carcinoma of the cervix is emphasized.
...
PMID:Primary cutaneous infection with Mycobacterium avium intracellulare complex resembling lupus vulgaris. 906 47
Intracranial tuberculomas manifesting radiologically as typical dural-based "meningiomas" have been reported, most frequently in immunosuppressed patients. Their incidence is high in developing countries; they are only sporadically observed in Western Europe and North America, usually in patients with acquired immunodeficiency syndrome (AIDS). According to published reports, intracranial tuberculomas are always due to infection by Mycobacterium tuberculosis. We report a case of a 50-year-old woman with
systemic lupus erythematosus
(
SLE
) who presented with a dural based, meningioma-like mass in the right frontal region, resulting from a localized infection by
Mycobacterium avium complex
. Histologically, the mass resembled a meningioma in being composed of spindly cells arranged in a fascicular pattern. Immunohistochemical stains showed this tumor to consist of a large aggregate of AFB-laden histiocytes without caseating necrosis or multinucleated giant cells.
...
PMID:A meningioma-mimicking tumor caused by Mycobacterium avium complex in an immunocompromised patient. 1063 98
Hemophagocytic syndrome (HPS) in
systemic lupus erythematosus
(
SLE
) patients has not commonly been reported. In this case study, we report the first case of
Mycobacterium avium complex
(
MAC
)-associated hemophagocytic syndrome in a patient with
systemic lupus erythematosus
(
SLE
). This
SLE
patient, a 15-year-old girl, had been on a high dose of prednisolone (> 0.5mg/kg/day) for more than 3 years. She presented with a spiking fever, hepatosplenomegaly, pancytopenia, hyperferritinemia and adult respiratory distress syndrome. Bone marrow examination revealed hemophagocytosis as well as non-caseating granulomatosis. There was no indication of
SLE
fare-up. She responded poorly to initial treatment with methyl-prednisolone, intravenous immumoglobulin, etoposide, and drugs for Mycobacterium tuberculosis including rifampin, ethambutol, isoniazid and pyramide. However, gastric lavage culture revealed
MAC
. Following treatment with clarithromycin, ciprofloxacin and amikacin, her condition gradually improved and she was discharged 3 months after admission. In
SLE
patients with pancytopenia and hyperferritinemia,
MAC
-associated HPS should be considered in the differential diagnosis.
Lupus
2003
PMID:Mycobacterium avium complex-associated hemophagocytic syndrome in systemic lupus erythematosus patient: report of one case. 1272 56
The presented case is a 36-year-old woman with a history of
systemic lupus erythematosus
for 10 years. She had progressively painful swelling of the right index finger that later proved to be a rare case of tenosynovitis caused by
Mycobacterium avium complex
. Serial images of 3-phase bone scans, gallium scan, and magnetic resonance imaging demonstrate the area of involvement.
...
PMID:Scintigraphic findings of Mycobacterium avium complex tenosynovitis of the index finger in a patient with systemic lupus erythematosus. 1457 17
A 41-year-old woman was admitted to our hospital because of fever and polyarthralgia. A diagnosis of
systemic lupus erythematosus
(
SLE
) was made based on the findings of polyarthritis, leukocytopenia, lymphocytopenia, proteinuria, and positive reactions for antinuclear antibody (ANA) and anti-double strand (ds)DNA antibody. She had also been suffering from a pulmonary
Mycobacterium avium complex
(
MAC
) infection with such symptoms as cough and sputum for the past 3 years. Antimicrobial drugs for
MAC
infection were administered first, and later she was given cyclophosphamide pulse therapy, consisting of methylprednisolone (8 mg/day) and mizoribine (100 mg/day). Owing to these therapeutic regimens,
SLE
was successfully treated without an exacerbation of the
MAC
infection. The risk factors for
MAC
infection and
SLE
are also discussed.
...
PMID:A patient with a Mycobacterium avium complex infection complicated by systemic lupus erythematosus. 1499 19
Systemic lupus erythematosus
(
SLE
) is a disease with wide range of signs and symptoms.
SLE
patients have increased infective diathesis, and infections are a very important cause of death in these patients. Infections can sometimes mimic the signs and symptoms of
SLE
. Thus, it is important to recognize that infection can induce a
lupus
flare-up or can be difficult to distinguish from a
lupus
flare-up. We describe a 36-year-old female patient with
SLE
, who presented with skin lesions and pancytopenia, and clinical manifestations similar to a flare-up of
SLE
. Bone marrow examination revealed infection with
Mycobacterium avium complex
(
MAC
). The patient had no history or clinical evidence of pulmonary involvement. This patient is the first case of invasive bone marrow
MAC
infection in
SLE
. With this unique case, we would like to emphasize that
SLE
patients can also be infected by non-tuberculous mycobacteria, and that bone marrow examination for tuberculosis as well as for non-tuberculosis mycobacteria should be considered in
SLE
patients with refractory pancytopenia.
Lupus
2010 Mar
PMID:Bone marrow infection caused by Mycobacterium avium complex in a patient with systemic lupus erythematosus. 2000 15
Mycobacterium marseillense was designated as a new species within
Mycobacterium avium complex
. We report the first case of M. marseillense lung disease in a patient with
systemic lupus erythematosus
. All serial isolates were identified as M. marseillense by multilocus sequence analysis, based on hsp65, 16S-23S rRNA internal transcribed spacer, and 16S rRNA fragments.
...
PMID:First case of nontuberculous mycobacterial lung disease caused by Mycobacterium marseillense in a patient with systemic lupus erythematosus. 2476 96
A 61-year-old woman was admitted for long-lasting fever and recurrent opportunistic infections during the treatment of
SLE
. She had been diagnosed as
SLE
and type-IV nephritis based on a renal biopsy and serological findings. A colonoscopy and liver biopsy revealed disseminated
Mycobacterium avium complex infection
. Human immunodeficiency virus (HIV) infection status was then examined and found to be positive. From the clinical course, the first symptoms were inferred to have been those of HIV infection.
...
PMID:Pseudo-SLE by human immunodeficiency virus infection. 2552 30
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