FATIGABILITY – FROM CONCEPT TO CLINICAL PROFILE. CASE REPORT

  • Andreea CLIM “Grigore T. Popa” University of Medicine and Pharmacy Iasi
  • B. HUZUM “Grigore T. Popa” University of Medicine and Pharmacy Iasi
  • Ana Roxana GANCEANU-RUSU “Grigore T. Popa” University of Medicine and Pharmacy Iasi
  • Nicoleta DIMA “Grigore T. Popa” University of Medicine and Pharmacy Iasi
  • Cristina LAZAR “Grigore T. Popa” University of Medicine and Pharmacy Iasi
  • R. HILITEANU The State University of Physical Education and Sport, Chisinau, Republic of Moldova
  • Ionela Lacramioara SERBAN “Grigore T. Popa” University of Medicine and Pharmacy Iasi

Abstract

We present the case of a female patient, aged 57, who undergoes her first cardiovascular evaluation and gets admitted to the emergency room complaining about palpitations, deep physical asthenia, dyspnea on average effort and discrete edema at the lower limbs level. The examination shows a severe anemic syndrome and serositis, with the development, thus, of a  systemic immunological affectation at the visceral level. Immunology tests confirmed the diagnosis supposition of systemic lupus erythematosus, the patient meeting 6 of the 11 American College of Rheumatology (ACR) criteria: malar rash, photosensitivity, serositis, hematological affectation, immunological affectation, antinuclear antibodies. The activity of the disease was assessed against the SLEDAI questionnaire (Systemic Lupus Erythematosus Disease Activity Index), which delivered a 12-point scoring, therefore showing a high activity level disease.

Author Biographies

Andreea CLIM, “Grigore T. Popa” University of Medicine and Pharmacy Iasi

Faculty of Medicine
Department of Morpho-functional Sciences (II)
“Sf. Spiridon” County Clinical Emergency Hospital, Iasi, Romania

B. HUZUM, “Grigore T. Popa” University of Medicine and Pharmacy Iasi

Faculty of Medicine
Department of Morpho-functional Sciences (II)

Ana Roxana GANCEANU-RUSU, “Grigore T. Popa” University of Medicine and Pharmacy Iasi

Faculty of Medicine
Department of Medical Specialties (I)
“Sf. Spiridon” County Clinical Emergency Hospital, Iasi, Romania

Nicoleta DIMA, “Grigore T. Popa” University of Medicine and Pharmacy Iasi

Faculty of Medicine
Department of Medical Specialties (I)
“Sf. Spiridon” County Clinical Emergency Hospital, Iasi, Romania

Cristina LAZAR, “Grigore T. Popa” University of Medicine and Pharmacy Iasi

Faculty of Medicine
Department of Morpho-functional Sciences (II)

Ionela Lacramioara SERBAN, “Grigore T. Popa” University of Medicine and Pharmacy Iasi

Faculty of Medicine
Department of Morpho-functional Sciences (II)

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Published
2020-12-23
Section
INTERNAL MEDICINE - PEDIATRICS