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pericardium), lungs (or
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pleura) and joints. Joint
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involvement is defined as
|
the presence of
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polyarticular inflammatory
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arthritis. Skin involvement
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is not considered one (1)
|
of the specified organs for
|
the purposes of this
|
benefit.
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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
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examiner specialising in
|
Rheumatology and
|
Immunology.
|
Encephalitis with Full
|
Recovery
|
Severe inflammation of
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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
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Illness
|
Not applicable
|
Intermediate Stage
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(<1,500/mL), or
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Haemolytic anaemia, or
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Thrombocytopenia
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(<100,000/mL)
|
1.9. Neurological disorder
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AND
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(2) 2 or more of the
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following tests being
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positive
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2.1. Anti-nuclear
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Antibodies
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2.2. L.E. cells
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2.3 Anti-DNA
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2.4 Anti-Sm (Smith IgG
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Autoantibodies)
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AND
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(3) There is lupus
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nephritis causing impaired
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renal function with a
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creatinine clearance rate
|
of 50 ml per minute or
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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
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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
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supported by any
|
confirmatory diagnostic
|
tests.
|
Encephalitis caused by
|
HIV infection is excluded.
|
Not applicable
|
Advanced Stage1
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Class II: Mesangial
|
proliferative lupus nephritis
|
Class III Focal lupus
|
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