It is important to Differential Diagnosis between Preeclampsia and SLE (systemic lupus sclerosis) in pregnancy because management is totally different.
SLE shows itself by:
- Hypertension in a pregnant woman in the setting of
o Massive proteinuria
o Malar rash
o Positive ANA titer
- Also pay attention to thse facts:I
- In SLE is especially at the point of hypertension, we would have Glomerulonephritis.
- SLE very rarely starts in pregnancy, so look for the history. (They sometimes provide you with history of positive signs and symptoms not the actual disease)
Treatment of SLE in pregnancy: Do not be aggressive, you can control it and save the baby.
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