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pericardium), lungs (or |
pleura) and joints. Joint |
involvement is defined as |
the presence of |
polyarticular inflammatory |
arthritis. Skin involvement |
is not considered one (1) |
of the specified organs for |
the purposes of this |
benefit. |
Other forms, discoid lupus |
and those forms with |
haematological |
involvement will be |
specifically excluded. The |
final diagnosis may have |
to be supported by a |
certified medical |
examiner specialising in |
Rheumatology and |
Immunology. |
Encephalitis with Full |
Recovery |
Severe inflammation of |
brain substance (cerebral |
hemisphere, brainstem or |
cerebellum) requiring |
hospitalisation. The |
diagnosis must be |
confirmed by a consultant |
neurologist and supported |
by any confirmatory |
diagnostic tests. |
Encephalitis caused by |
HIV infection is excluded. |
36. Terminal |
Illness |
Not applicable |
Intermediate Stage |
(<1,500/mL), or |
Haemolytic anaemia, or |
Thrombocytopenia |
(<100,000/mL) |
1.9. Neurological disorder |
AND |
(2) 2 or more of the |
following tests being |
positive |
2.1. Anti-nuclear |
Antibodies |
2.2. L.E. cells |
2.3 Anti-DNA |
2.4 Anti-Sm (Smith IgG |
Autoantibodies) |
AND |
(3) There is lupus |
nephritis causing impaired |
renal function with a |
creatinine clearance rate |
of 50 ml per minute or |
less. |
We reserve the right to |
change this definition from |
time to time to reflect the |
changes in qualitative or |
quantitative medical |
categorization of this |
illness so as to give effect |
to the original intent of this |
definition. |
Mild Encephalitis |
Severe inflammation of |
brain substance (cerebral |
hemisphere, brainstem or |
cerebellum) resulting in |
significant but reversible |
neurological deficit and |
there must be evidence of |
hospitalization for at least |
two (2) weeks. The |
neurological deficit must |
persist for at least six (6) |
weeks. The diagnosis |
must be confirmed by a |
consultant neurologist and |
supported by any |
confirmatory diagnostic |
tests. |
Encephalitis caused by |
HIV infection is excluded. |
Not applicable |
Advanced Stage1 |
Class II: Mesangial |
proliferative lupus nephritis |
Class III Focal lupus |
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