Sections View Full Chapter Figures Tables Videos Annotate Full Chapter Figures Tables Videos Supplementary Content ++ Lupus erythematosus ++ 695.4 Lupus erythematosusPT diagnoses/treatment diagnoses that may be associated with immune disorders affecting movement315.4 Developmental coordination disorder718.07 Articular cartilage disorder, ankle and foot718.03 Articular cartilage disorder, forearm718.04 Articular cartilage disorder, hand718.45 Contracture of joint, pelvic region and thigh719.39 Palindromic rheumatism involving multiple sites719.4 Pain in joint719.70 Difficulty in walking involving joint site unspecified728.2 Muscular wasting and disuse atrophy, not elsewhere classified729.9 Other and unspecified disorders of soft tissue729.1 Myalgia and myositis, unspecified729.9 Other disorders of soft tissue736.9 Acquired deformity of limb site unspecified780.7 Malaise and fatigue781.2 Abnormality of gait782.3 Edema786.0 Dyspnea and respiratory abnormalities786.05 Shortness of breath ++ L93.0 Discoid lupus erythematosusL93.2 Other local lupus erythematosus ++ 4D: Impaired joint mobility, motor function, muscle performance, and range of motion associated with connective tissues dysfunction4E: Impaired joint mobility, motor function, muscle performance, and range of motion associated with localized inflammation7B: Impaired integumentary integrity associated with superficial skin involvement +++ Description ++ A long term autoimmune disease that attacks the body’s tissues and organ systems as if they were foreign substancesAffects skin, joints, kidneys, brain, and other organsAlthough SLE is most common form, there are others: discoid or cutaneous lupus, drug-induced systemic lupus, neonatal lupus, and subacute cutaneous lupusOnset often vague with misdiagnosis +++ Essentials of Diagnosis ++ Must be made by a physician and confirmed by medical diagnostic testingAccording 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 butterflyDiscoid rash: a rash that appears as red, raised, disk-shaped patchesPhotosensitivity: a reaction to sun or light that causes a skin rash to appear or get worseOral ulcers: sores appearing in the mouthArthritis: joint pain and swelling of two or more joints in which the bones around the joints do not become destroyedSerositis: 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 urineNeurological disorder: seizures or psychosisBlood 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 antibodiesAbnormal antinuclear antibody (ANA) +++ General Considerations ++ Diagnosis for more occult problems may take time and require intensive medical diagnostic testingMay result in secondary problemsAerobic capacity and muscle endurance impairmentSarcopeniaWeakness/impaired muscle performanceMusculoskeletal problemsNeuromuscular problemsWeight loss indicating the need for physical therapyBecause lupus and other immune disorders frequently refer ... Your MyAccess profile is currently affiliated with '[InstitutionA]' and is in the process of switching affiliations to '[InstitutionB]'. Please click ‘Continue’ to continue the affiliation switch, otherwise click ‘Cancel’ to cancel signing in. Get Free Access Through Your Institution Learn how to see if your library subscribes to McGraw Hill Medical products. Subscribe: Institutional or Individual Sign In Username Error: Please enter User Name Password Error: Please enter Password Forgot Username? Forgot Password? Sign in via OpenAthens Sign in via Shibboleth