### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
i was with my daughter at the obgyn and the dr told her that he was sending her to have scan done because they may haves suspected arithmetic. But he used the word Lupus and i wanted to know how doe lupus come together with all this?

### output:

Lupus is a shortened name for Systemic Lupus Erythematous or SHE.  Your physician is acting on a suspicion and needs to gather evidence.  SHE can affect many parts of the body.  The criteria for determining if your daughter has SHE involves several observations.  1.  Malay rashes, a butterfly-patterned rash over the nasal bridge of her nose and onto the cheeks.  2.  Discoid rash, a raised rash in a roughly circular pattern.  3.  Photosensitivity, a rash in reaction to ultraviolet light.  4.  Oral and nasopharyngeal ulcers that must be observed by a physician.  5.  Arthritis, in 2 or more joints characterized by swelling, tenderness, or effusion.  6.  Deposits, pleuritic or pericarditis which is inflammation of the lungs or heart.  7.  Renal disorder, characterized by protein urea or castings.  8.  Neurological symptoms, seizures or psychosis without other causes.  9.  Blood disorders characterized by anemia and other signs.  10.  Immunological disorders defined by blood testing.  11.  Antinuclear antibodies that are detected by blood testing. Any combination of 4 or more of the above criteria makes it more likely that the patient has SHE.  If you are concerned with the care your OB/GUN physician is giving your daughter, a second opinion is your right.  I recommend a physician who deals in hematologic diseases and sees a great deal of SHE in their practice.