CEA Nursing Practice Exam

Systemic Lupus Erythematosus (SLE) is most commonly identified by which clinical finding?

1. Butterfly rash on the face

2. Myoglobinuria

3. Elevated WBC count

4. Diffuse rash on the torso

The correct answer is: Butterfly rash on the face

Systemic Lupus Erythematosus (SLE) is an autoimmune disease characterized by a diverse range of clinical manifestations, among which the butterfly rash on the face is a hallmark. This rash typically appears across the cheeks and bridge of the nose, resembling the wings of a butterfly, and is often associated with photosensitivity, a common symptom in SLE patients. The presence of this distinctive facial rash serves as an important diagnostic criterion for SLE and is well recognized in clinical practice. Identifying this rash can prompt further evaluation and testing for other components of the disease, such as joint pain, renal involvement, or hematological abnormalities. In contrast, myoglobinuria is not directly related to SLE; it is typically associated with muscle injury rather than autoimmune conditions. An elevated white blood cell count can be seen in various diseases and infections, but it is not specific to lupus and can occur in many other clinical situations. A diffuse rash on the torso could suggest various skin conditions or reactions but does not specifically indicate SLE as clearly as the butterfly rash does. Thus, the butterfly rash is most commonly associated with SLE and serves as an important clinical sign to help identify and diagnose this complex autoimmune disorder.