RA Vs SLE - 2020

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RA Vs.

SLE
Properties RA SLE
1. Etiology Chronic Infection with arthritogenic Environmental, Genetic, hormonal &
Agent Immunological factors
2. Genetic HLA-DR 1 & DR 4 HLA-DR2 & DR3
susceptibility
3. Immune Due to chronic infection & Disturbance in apoptosis process results in
mechanism (I.M.) appearance of denatured Ab exposure of the cellular internal contents to
initiators the I.S. action
4. Amplification of I.M By IL-1 & TNF-α which results in Soluble I.Cs formation in the circulation & its
Pannus formation that acts in bone deposition in the tissues such as skin or
erosion kidney in addition to heart lung CNS & others
5. Diagnostic clinical Joint pain, cartilage damage, bone Butter flay skin rash (Malar or discoid), &
features destruction and deformity Renal disorders
6. Diagnostic Markers RF (as screening non-specific) Anti-Nuclear Ab (as screening non-specific)
marker & Anti-CCP as specific marker while ds-DNA marker is the
diagnostic predictive marker specific diagnosticTest
7. Imaging Study Bone erosion & narrowing of the No bone erosion
Results synovial space
8. Blood Picture Leukocytosis with elevated All blood parameters decline except for ESR
thrombocytes & ESR with anemia
9. Complement Normal or Elevated Both decline
component C3 & C4
10. M:F ratio 1:3 1:9
11. Method for ELISA for RF & Ant-CCP, SRID for Immunoflurescent Ab for ds-DNA & latex-
detection are: C3 & C4 Synovial fluid aspiration agglutination test for ANA beside IFA for skin
sometimes and renal Biopsy
12. Affected Ages Above 45 years (Menopause age) Younger at Child-bearing age

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