{"id":7451,"date":"2022-11-22T13:00:22","date_gmt":"2022-11-22T10:00:22","guid":{"rendered":"https:\/\/urbancare.clinic\/symmetrical-white-matter-lesions-in-a-patient-with-systemic-lupus-erythematosus\/"},"modified":"2022-11-22T13:00:22","modified_gmt":"2022-11-22T10:00:22","slug":"vidonda-vya-vitu-vyeupe-vyenye-ulinganifu-kwa-mgonjwa-mwenye-lupus-erithematosus-ya-utaratibu","status":"publish","type":"post","link":"https:\/\/urbancare.clinic\/sw\/symmetrical-white-matter-lesions-in-a-patient-with-systemic-lupus-erythematosus\/","title":{"rendered":"Vidonda vya ulinganifu wa vitu vyeupe kwa mgonjwa mwenye lupus erythematosus ya utaratibu"},"content":{"rendered":"<div><img decoding=\"async\" src=\"https:\/\/urbancare.clinic\/wp-content\/uploads\/2023\/01\/symmetrical-white-matter-lesions-in-a-patient-with-systemic-lupus-erythematosus.jpg\" class=\"ff-og-image-inserted\" style=\"display:none\"><\/div>\n<p><span class=\"highwire-journal-article-marker-start\"><\/span><\/p>\n<p id=\"p-2\">Msichana mwenye umri wa miaka 16 alionyeshwa matukio mawili ya maumivu ya kichwa, maumivu ya shingo na kutapika katika miezi 4 iliyopita. Katika kipindi cha kwanza, alitibiwa kwa viuavijasumu kwa siku 5 kufuatia dawa za steroidi zilizoongezwa, kwani dalili zake hazikutatuliwa. Alikuwa na dalili za kuongezeka wakati dawa za steroidi zilipunguzwa na kupooza kwa sehemu ya nyuma ya puru ya kulia na uvimbe wa viungo vya goti la kushoto. Alikuwa na dyspnoea ya mara kwa mara, vipele vya kupiga picha kwenye mashavu, kupungua uzito, weupe na vilabu. Alikuwa na nguvu 4\/5 kwenye viungo vya nyonga baina ya nchi mbili. \u2026 <\/p>\n<p><span class=\"highwire-journal-article-marker-end\"><\/span><a href=\"http:\/\/pmj.bmj.com\/cgi\/content\/short\/98\/1166\/e25?rss=1\">Chanzo cha matibabu cha kila siku<\/a><\/p>\n<p>","protected":false},"excerpt":{"rendered":"<p>Msichana mwenye umri wa miaka 16 alionyeshwa matukio mawili ya maumivu ya kichwa, maumivu ya shingo na kutapika katika miezi 4 iliyopita. Katika kipindi cha kwanza, alitibiwa kwa viuavijasumu kwa siku 5 kufuatia dawa za steroidi zilizoongezwa, kwani dalili zake hazikutatuliwa. Alikuwa na dalili za kuongezeka wakati dawa za steroidi zilipunguzwa na kupooza kwa puru ya kulia na uvimbe wa viungo vya goti la kushoto. Alikuwa na dyspnoea ya mara kwa mara, vipele vya kupiga picha kwenye mashavu, kupungua uzito, weupe na vilubu. Alikuwa na nguvu 4\/5 kwenye viungo vya nyonga baina ya nchi mbili.<\/p>\n<p>Ubongo wa MRI ulionyesha shinikizo la damu lenye ulinganifu wa T2 katika periventricular, subcortical na mada nyeupe ya kina ambayo iliripotiwa kupendekeza leukodystrophy (<cross-ref type=\"fig\" refid=\"F1\">takwimu 1A<\/cross-ref>) Uchunguzi wa ugiligili wa ubongo (CSF) ulionyesha shinikizo la juu la 37 mm Hg na seli zisizo na glukosi na protini ya kawaida. Saitiolojia mbaya ya CSF ilikuwa mbaya. John Cunningham, Cytomegalovirus na DNA ya virusi vya BK katika CSF haikuweza kugunduliwa. VVU ELISA ilikuwa hasi.<\/p>\n<p>Nyeupe linganifu...<\/p>","protected":false},"author":2,"featured_media":7452,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"Default","format":"standard","meta":{"page_builder":"","fifu_image_url":"https:\/\/urbancare.clinic\/wp-content\/uploads\/2023\/01\/symmetrical-white-matter-lesions-in-a-patient-with-systemic-lupus-erythematosus.jpg","fifu_image_alt":"","footnotes":""},"categories":[185],"tags":[],"class_list":["post-7451","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-research-medical-articles"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Symmetrical white matter lesions in a patient with systemic lupus erythematosus - Urban Care Clinic<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/urbancare.clinic\/sw\/vidonda-vya-vitu-vyeupe-vyenye-ulinganifu-kwa-mgonjwa-mwenye-lupus-erithematosus-ya-utaratibu\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Symmetrical white matter lesions in a patient with systemic lupus erythematosus - Urban Care Clinic\" \/>\n<meta property=\"og:description\" content=\"A 16-year-old girl presented with two episodes of headache, neck pain and vomiting in the last 4 months. In the first episode, she was treated with antibiotics for 5 days following which steroids were added, as her symptoms did not resolve. She had aggravation of symptoms when steroids were tapered with additional right lateral rectus palsy and left knee joint swelling. She had intermittent exertional dyspnoea, photosensitive rashes on cheeks, weight loss, pallor and clubbing. She had 4\/5 power at bilateral hip joints. MRI brain showed confluent bilaterally symmetrical T2 hyperintensities in periventricular, subcortical and deep white matter which was reported to be suggestive of leukodystrophy (figure 1A). Cerebrospinal fluid (CSF) examination showed high pressure of 37 mm Hg with nil cells and normal glucose and protein. CSF malignant cytology was negative. John Cunningham, Cytomegalovirus and BK virus DNA in CSF was not detectable. HIV ELISA was negative. Symmetrical white...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/urbancare.clinic\/sw\/vidonda-vya-vitu-vyeupe-vyenye-ulinganifu-kwa-mgonjwa-mwenye-lupus-erithematosus-ya-utaratibu\/\" \/>\n<meta property=\"og:site_name\" content=\"Urban Care Clinic\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/urbancarezanzibar\" \/>\n<meta property=\"article:published_time\" content=\"2022-11-22T10:00:22+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/urbancare.clinic\/wp-content\/uploads\/2023\/01\/symmetrical-white-matter-lesions-in-a-patient-with-systemic-lupus-erythematosus.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1024\" \/>\n\t<meta property=\"og:image:height\" content=\"1024\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Urban Care Clinic\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Urban Care Clinic\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/urbancare.clinic\\\/symmetrical-white-matter-lesions-in-a-patient-with-systemic-lupus-erythematosus\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/urbancare.clinic\\\/symmetrical-white-matter-lesions-in-a-patient-with-systemic-lupus-erythematosus\\\/\"},\"author\":{\"name\":\"Urban Care Clinic\",\"@id\":\"https:\\\/\\\/urbancare.clinic\\\/#\\\/schema\\\/person\\\/a304a61bcf298680ee41e2e9ae193930\"},\"headline\":\"Symmetrical white matter lesions in a patient with systemic lupus erythematosus\",\"datePublished\":\"2022-11-22T10:00:22+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/urbancare.clinic\\\/symmetrical-white-matter-lesions-in-a-patient-with-systemic-lupus-erythematosus\\\/\"},\"wordCount\":94,\"publisher\":{\"@id\":\"https:\\\/\\\/urbancare.clinic\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/urbancare.clinic\\\/symmetrical-white-matter-lesions-in-a-patient-with-systemic-lupus-erythematosus\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/urbancare.clinic\\\/wp-content\\\/uploads\\\/2023\\\/01\\\/symmetrical-white-matter-lesions-in-a-patient-with-systemic-lupus-erythematosus.jpg\",\"articleSection\":[\"Research Articles\"],\"inLanguage\":\"sw\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/urbancare.clinic\\\/symmetrical-white-matter-lesions-in-a-patient-with-systemic-lupus-erythematosus\\\/\",\"url\":\"https:\\\/\\\/urbancare.clinic\\\/symmetrical-white-matter-lesions-in-a-patient-with-systemic-lupus-erythematosus\\\/\",\"name\":\"Symmetrical white matter lesions in a patient with systemic lupus erythematosus - 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