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One of the unique innovations of the Macintosh team was the design and structure of a Macintosh file. Macintosh files are organized into two components called forks:

If antinuclear antibody (ANA) is positive in high titer or when the clinical picture suggests systemic involvement, the findings of antibody to double-stranded DNA and hypocomplementemia suggest the diagnosis of SLE Rare patients with marked photosensitivity and a picture otherwise suggestive of lupus have negative ANA tests but are positive for antibodies against Ro/SSA (SCLE)

The relational operators for C# are shown in Table 4-1. This table assumes two variables: bigValue and smallValue, in which bigValue has been assigned the value 100, and smallValue the value 50.

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The diagnosis is based on the clinical appearance confirmed by skin biopsy in all cases In DLE, the scales are dry and thumbtack-like and can thus be distinguished from those of seborrheic dermatitis and psoriasis Older lesions that have left depigmented scarring (classically in the concha of the ear) or areas of hair loss will also differentiate lupus from these diseases Ten percent of patients with SLE have discoid skin lesions, and 5% of patients with discoid lesions have SLE Medications (hydrochlorothiazide, calcium channel blockers, terbinafine) may induce CCLE with a positive Ro

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Protect from sunlight Use high-SPF (> 30) sunblock with UVB and UVA coverage daily Caution: Do not use any form of radiation therapy Avoid using drugs that are potentially photosensitizing when possible

Table 4-1. C# relational operators (assumes bigValue = 100 and smallValue = 50) Name Equals Not equals Greater than Greater than or equal to Operator

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Triamcinolone acetonide suspension, 25 10 mg/mL, may be injected into the lesions once a month This should be tried before systemic therapy

bigValue == 100 bigValue == 80 bigValue != 100 bigValue != 80 bigValue > smallValue bigValue >= smallValue smallValue >= bigValue bigValue < smallValue smallValue <= bigValue bigValue <= smallValue

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