A client with Systemic lupus erythematosus (SLE) has been admitted into the Med-surgical unit.
The nurse should recognize which of the following manifestations associated with lupus? (Select All that Apply.).
A.
Tophi presentation on the joints.
B.
Heberden’s nodes.
C.
Butterfly rash on the face.
D.
Raynaud’s phenomenon.
E.
Photosensitive skin.
The correct answer and Explanation is :
For a client with Systemic Lupus Erythematosus (SLE), the nurse should recognize the following manifestations:
C. Butterfly rash on the face
D. Raynaud’s phenomenon
E. Photosensitive skin
Explanation:
1. Butterfly Rash on the Face:
The butterfly rash, or malar rash, is a hallmark cutaneous manifestation of SLE. It typically presents as a red, butterfly-shaped rash across the cheeks and bridge of the nose. This rash is a classic sign that helps in diagnosing SLE and is often one of the first visible indicators of the disease.
2. Raynaud’s Phenomenon:
Raynaud’s phenomenon is characterized by episodic color changes in the fingers and toes in response to cold or stress. The affected areas may turn white or blue and then red as blood flow returns. This condition is frequently observed in SLE patients, often occurring in conjunction with other symptoms of the disease.
3. Photosensitive Skin:
Photosensitivity refers to an abnormal reaction of the skin to sunlight. Individuals with SLE often experience exacerbation of skin rashes and other symptoms upon exposure to UV light. This sensitivity can lead to increased rashes and flare-ups, making sun protection an essential aspect of managing SLE.
Manifestations Not Associated with SLE:
A. Tophi Presentation on the Joints:
Tophi are deposits of uric acid crystals commonly associated with gout, not SLE. They appear as lumps under the skin around the joints.
B. Heberden’s Nodes:
Heberden’s nodes are bony growths that occur in osteoarthritis, not SLE. They are found at the distal interphalangeal joints of the fingers.
Understanding these manifestations helps in differentiating SLE from other conditions and in providing appropriate care and management for patients with this autoimmune disorder.