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Clinical Problem-Solving
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Volume 328:636-639 March 4, 1993 Number 9
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Lucky Lady
Eldad Ben-Chetrit

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A 24-year-old woman in the 21st week of her first pregnancy was admitted to the hospital with severe leg edema. Three years earlier, after arthritis and a facial rash had developed, a diagnosis of systemic lupus erythematosus had been made, and she had been treated with hydroxychloroquine. Laboratory tests at that time showed thrombocytopenia and anti-DNA antibodies. A year earlier the patient had had pure red-cell aplasia that was unresponsive to high-dose steroids but responsive to intravenous immune globulin. During the six months before conception she was receiving only prednisone (5 mg daily). She was asymptomatic until the 21st week . . . [Full Text of this Article]

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From the Rheumatology Unit, Division of Medicine, Hadassah University Hospital, P.O. Box 12000, Jerusalem, Israel, where reprint requests should be addressed to Dr. Ben-Chetrit.

References


Related Letters:

Calcium Supplementation in Postmenopausal Women
Temianka D., Reid I. R.
Extract | Full Text  
N Engl J Med 1993; 329:279, Jul 22, 1993. Correspondence

Clinical Problem-Solving: Lucky Lady
Levin M., Ben-Chetrit E.
Extract | Full Text  
N Engl J Med 1993; 329:279, Jul 22, 1993. Correspondence



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