# The patient was diagnosed with _____, a chronic autoimmune condition where the immune system attacks the body's own tissues.

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=168444  
> language: ko  
> subject: Diseases of the musculoskeletal system and connective tissue

## 문제

The patient was diagnosed with _____, a chronic autoimmune condition where the immune system attacks the body's own tissues.

## 보기

1. lupus **✔ 정답**
2. allergy
3. asthma
4. sarcoidosis
5. myasthenia

**정답: 1**

## 해설

Lupus, or Systemic Lupus Erythematosus (SLE), is a complex autoimmune disease where the immune system attacks healthy tissues throughout the body. It can affect multiple organs including skin, joints, kidneys, brain, and blood vessels. Common symptoms include fatigue, joint pain, skin rashes (particularly the butterfly rash), and fever. The condition often follows a pattern of flares and remissions.

## 임상 시나리오

• Lupus (SLE) Key Points:
- Chronic inflammatory autoimmune disease
- Affects multiple organ systems
- More common in women of childbearing age
- Can be triggered by sunlight, infections, medications

• Common Symptoms:
- Butterfly-shaped rash across cheeks and nose
- Joint pain and swelling
- Extreme fatigue
- Fever
- Chest pain
- Hair loss
- Photosensitivity

• Diagnosis:
- ANA (Antinuclear Antibody) test
- Anti-dsDNA antibodies
- Complete blood count
- Urinalysis
- Complement tests

• Treatment Options:
- NSAIDs for pain and inflammation
- Antimalarial drugs (hydroxychloroquine)
- Corticosteroids
- Immunosuppressants
- Regular monitoring
- Sun protection

• Complications:
- Kidney damage (lupus nephritis)
- Cardiovascular problems
- Blood disorders
- Increased infection risk
- Pregnancy complications

## 핵심 개념

- **lupus** — A chronic autoimmune disease where the immune system attacks healthy body tissues, causing inflammation and damage to various organs including skin, joints, kidneys, and blood vessels
- **allergy** — An immune system response to substances that are usually harmless, causing symptoms such as sneezing, itching, and rashes
- **asthma** — A chronic respiratory condition characterized by inflammation and narrowing of the airways, causing breathing difficulties, wheezing, and coughing
- **sarcoidosis** — A inflammatory disease that causes clusters of cells called granulomas to form in various organs, primarily affecting the lungs and lymph nodes
- **myasthenia** — A chronic autoimmune disorder causing muscle weakness and fatigue, particularly affecting muscles controlling eye and eyelid movement, facial expressions, and swallowing

## 같은 주제 문제

- [Labs show positive ______ antibodies, suggesting systemic lupus.](https://mymerci.kr/pages/nclex_q.php?qn_id=168357)
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