ISSN: 2684-1630
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Former Professor & Head, Department of Medicine & Division of Haematology Government Medical College, Kozhikode, Kerala, India
Expert Review
SLE and Blood: The Kozhikode Criteria for Diagnosis
Author(s): PK Sasidharan*
The most popular diagnostic criteria for SLE is the American College of Rheumatology (ACR) criteria, which does
not often help in diagnosis due to several pitfalls, especially when it presents with haematological manifestations,
which is confirmed by our observations over more than three decades and our studies on SLE. The problems
and challenges in diagnosis are illustrated by the case histories and our own studies described in this article. The
diagnosis of SLE is often delayed or even missed when patients come with haematological manifestations. The
problem is even more serious when the index of clinical suspicion is low, especially in a situation where patients
go doctor-shopping with improper follow up, which is common without a strong primary care set up and a referral
system which are essential for streamlining patient care. Our first study had shown that m.. View More»