- 695.4 Lupus erythematosus
- PT diagnoses/treatment diagnoses that may be associated with immune disorders affecting movement
- 315.4 Developmental coordination disorder
- 718.07 Articular cartilage disorder, ankle and foot
- 718.03 Articular cartilage disorder, forearm
- 718.04 Articular cartilage disorder, hand
- 718.45 Contracture of joint, pelvic region and thigh
- 719.39 Palindromic rheumatism involving multiple sites
- 719.4 Pain in joint
- 719.70 Difficulty in walking involving joint site unspecified
- 728.2 Muscular wasting and disuse atrophy, not elsewhere classified
- 729.9 Other and unspecified disorders of soft tissue
- 729.1 Myalgia and myositis, unspecified
- 729.9 Other disorders of soft tissue
- 736.9 Acquired deformity of limb site unspecified
- 780.7 Malaise and fatigue
- 781.2 Abnormality of gait
- 782.3 Edema
- 786.0 Dyspnea and respiratory abnormalities
- 786.05 Shortness of breath
- L93.0 Discoid lupus erythematosus
- L93.2 Other local lupus erythematosus
- A long term autoimmune disease that attacks the body’s tissues and organ systems as if they were foreign substances
- Affects skin, joints, kidneys, brain, and other organs
- Although SLE is most common form, there are others: discoid or cutaneous lupus, drug-induced systemic lupus, neonatal lupus, and subacute cutaneous lupus
- Onset often vague with misdiagnosis
- Must be made by a physician and confirmed by medical diagnostic testing
- According to the American College of Rheumatology (ACR)2 4 of 11 of the following must be present:
- Malar rash: a rash over the cheeks and nose, often in the shape of a butterfly
- Discoid rash: a rash that appears as red, raised, disk-shaped patches
- Photosensitivity: a reaction to sun or light that causes a skin rash to appear or get worse
- Oral ulcers: sores appearing in the mouth
- Arthritis: joint pain and swelling of two or more joints in which the bones around the joints do not become destroyed
- Serositis: inflammation of the lining around the lungs (pleuritis) or inflammation of the lining around the heart that causes chest pain, which is worse with deep breathing (pericarditis)
- Kidney disorder: persistent protein or cellular casts in the urine
- Neurological disorder: seizures or psychosis
- Blood disorder: anemia (low red blood cell count), leukopenia (low white blood cell count), lymphopenia (low level of specific white blood cells), or thrombocytopenia (low platelet count)
- Immunologic disorder: abnormal anti-double-stranded DNA or anti-Sm, positive antiphospholipid antibodies
- Abnormal antinuclear antibody (ANA)
- Diagnosis for more occult problems may take time and require intensive medical diagnostic testing
- May result in secondary problems
- Aerobic capacity and muscle endurance impairment
- Weakness/impaired muscle performance
- Musculoskeletal problems
- Neuromuscular problems
- Weight loss indicating the need for physical therapy
- Because lupus and other immune disorders frequently refer pain or are ...
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