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SLE Patient Case Studies: Denise

Hypothetical Patient

For Denise and her healthcare providers, arriving at a diagnosis of SLE took 2 years. Unfortunately, their story is not unusual.

Date Presentation Next Steps/Follow-Up

June 11, 2010

Patient presented with edema of ankles Apparent effect from recent flight; advised to sleep with legs elevated
Dec 20, 2010 Patient reports joint pain, cold hands and feet, fever Flu test negative. Referred for x-ray of painful joints. Scheduled follow-up visit
Jan 20, 2011 Joint pain follow-up visit. X-ray indicates no erosion or subluxation. Patient reports all symptoms resolved Patient advised to make an appointment if symptoms return
Aug 15, 2011 Rash on cheeks and nose Referred to dermatologist
Aug 22, 2011 Dermatologist report Diagnosed with rosacea
Feb 1, 2012 Patient presented with severe abdominal pain; reports occasional fever Referred to gastroenterologist
Feb 7, 2012 Gastroenterologist report Symptoms resolved prior to visit without intervention; possible inflammatory bowel disease
Jul 16, 2012 Patient presented with severe Raynaud phenomenon Referred to
rheumatologist
Aug 9, 2012 Rheumatologist report SLE diagnosis