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Correspondence
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Volume 348:960-961 March 6, 2003 Number 10
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Case 29-2002: Antiphospholipid-Antibody Syndrome

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 by Bloom, B. J.
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To the Editor: We are told in Case 29-2002 (Sept. 19 issue)1 that the patient's urine contained 15 to 20 red cells per high-power field and 100 mg of protein per deciliter but that he did not have nephritis, yet a renal biopsy was not performed before the initiation of anticoagulant therapy. The diagnosis of systemic lupus erythematosus was considered but discarded because, among other factors, there was no nephritis.

The diagnosis of systemic lupus erythematosus was not made because only two or three criteria for the diagnosis were present,2 depending on whether or not the patient had arthritis, a . . . [Full Text of this Article]




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