课件：系统性红斑狼疮留学生上课.ppt

ANA ANA: positive in 95% of cases. Pretest probability affects interpretation. In PCP setting, 2% for SLE. In rheum: 30% Low Positive (1:160 or lower): SLE likelihood 2% (26% for rheumatologists) High Positive (1:320 or higher): SLE likelihood: 2-17% (32-81% for rheumatologists) SLE specific patterns: Rim and Homogenous Additional work-up Serum cr. and albumin CBC w/ diff U/A ESR Complement levels Renal bx if warranted Treatment Treatment plans are based on patient age, sex, health, symptoms, and lifestyle Goals of treatment are to: -prevent flares -treat flares when they occur -