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10.1097/RHU.0b013e3182a6a924 http://scihub22266oqcxt.onion/10.1097/RHU.0b013e3182a6a924 C4391510!4391510!24048114     free     free     free Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       J+Clin+Rheumatol 2013 ; 19 (7): 397-9 Nephropedia Template TP {{tp|p=24048114|t=2013. Diffuse Lymphadenopathy as the Presenting Manifestation of SLE |pdf=|usr=}}{{24048114}} gab.com Text Diffuse Lymphadenopathy as the Presenting Manifestation of SLE JO: J Clin Rheumatol http://www.kidney.de/pget.php?&tw=1&pmid=24048114 #FOAvip We report the case of a 27 year old African-American man who presented with 6 months of generalized lymphadenopathy and nothing in his history or examination to suggest systemic lupus erythematosus. He was thought to have lymphoma, syphilis or tuberculosis and an extensive work up was done. Laboratory investigation finally revealed leukopenia (4.0), proteinuria (1.87grams), ANA (640 speckled), anti-dsDNA (640) , anticardiolipin IgG and IgM, anti-Smith, Coombs, anti-Ro, anti-La, CK (531U/L), aldolase (8.5 U/L), high erythrocyte sedimentation rate (130) and low complement (C3 15mg/dl and C4 3mg/dl). A kidney biopsy showed diffuse proliferative glomerulonephritis, ISN class IV. Generalized lymphadenopathy as the first and only manifestation for 6 months made the diagnosis of SLE challenging. Generalized diffuse lymphadenopathy has been associated with SLE, but is much less frequent now than in the past. The differential diagnosis of lymphadenopathy relevant to rheumatologists, includes Kikuchi histiocytic necrotizing lympadenitis, Castleman disease, syphilis, tuberculosis, sarcoidosis and lymphoma. Twit Text FOAVip Diffuse Lymphadenopathy as the Presenting Manifestation of SLE ????J Clin Rheumatol http://www.kidney.de/pget.php?&tw=1&pmid=24048114 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=24048114 #FOAvip English Wikipedia <ref>{{Cite pmid|24048114}}</ref> Diffuse Lymphadenopathy as the Presenting Manifestation of SLE #MMPMID24048114 Smith LW; Petri M J Clin Rheumatol 2013[Oct]; 19 (7): 397-9 PMID24048114show ga We report the case of a 27 year old African-American man who presented with 6 months of generalized lymphadenopathy and nothing in his history or examination to suggest systemic lupus erythematosus. He was thought to have lymphoma, syphilis or tuberculosis and an extensive work up was done. Laboratory investigation finally revealed leukopenia (4.0), proteinuria (1.87grams), ANA (640 speckled), anti-dsDNA (640) , anticardiolipin IgG and IgM, anti-Smith, Coombs, anti-Ro, anti-La, CK (531U/L), aldolase (8.5 U/L), high erythrocyte sedimentation rate (130) and low complement (C3 15mg/dl and C4 3mg/dl). A kidney biopsy showed diffuse proliferative glomerulonephritis, ISN class IV. Generalized lymphadenopathy as the first and only manifestation for 6 months made the diagnosis of SLE challenging. Generalized diffuse lymphadenopathy has been associated with SLE, but is much less frequent now than in the past. The differential diagnosis of lymphadenopathy relevant to rheumatologists, includes Kikuchi histiocytic necrotizing lympadenitis, Castleman disease, syphilis, tuberculosis, sarcoidosis and lymphoma. äDiffuse Lymphadenopathy as the Presenting Manifestation of SLE (epmc).pdf DeepDyve Pubget Overpricing