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By Nortin M. Hadler

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1978) Pulmonary hemorrhage in systemic lupus erythematosus. Medicine, 57, 545-560 E I S E N B E R G , Η . , D U B O I S , Ε . L . , SHERWiN, R . p. and B A L C H U M , o. J . (1973) Diffuse interstitial lung disease in systemic lupus erythematosus. Annals of Internal Medicine, 79, 37-45 E S D A I L E , J . J . , D A N O F F , D . , R O S E N T H A L L , L . and GUTKOwsKi, A . (1981) Deforming arthritis in systemic lupus erythematosus. Annals of the Rheumatic Diseases, 40, 124-126 E V A N S , J .

W . (1976) Steroid myopathy in connective tissue diseases. American Journal of Medicine, 61, 485-492 A P T E K A R , R. Α . , L A W L E S S , A U S T I N , Η . Α . , M U E N Z , L. R . , J O Y C E , K. M . , A N T O N O V Y C H , T. Α . , K U L L I C K , M. D . , K L I P P E L , J. H . , D E C K E R , J. L. and Β A L O W , J . E . (1983) Prognostic factors in lupus nephritis: contribution of renal histologic data. American Journal of Medicine, 75, 382-391 A X E L R O D , L . (1976) Glucocorticoid therapy.

Fear of loss of independence, a lack of understanding of the disease and the regimens required to manage it, together with other sources of friction and impatience, were all important features of the difficulties created by arthritis for those involved in their care. Wright and Owen conclude by saying that 'help was required in enabling patients to cope with their fears, to manage practically and to deal with the anxieties of their husbands'. Thus, 'success' in adapting to disabling illness depends as much on the management of anxiety in others as on the attributes of affected individuals (Dartington, Miller and Gwynne, 1981).

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