On 2 May 2005, the Chief of Staff, Army, approved the creation of the CAB to provide special recognition to soldiers who personally engage, or are engaged by the enemy. HQDA Letter 600-05-1, dated 3 June 2005, announced the establishment of the Combat Action Badge.
First of all, in some lupus patients (as in people without lupus), stress may cause no direct or indirect effects. Stress, however, may affect a person with lupus in one of three ways.1  Stress may cause the same reactions that can occur in any person who does not have lupus.2  Stress can be associated with (precipitate or initiate) the first appearance of their lupus. Stress may cause the same reactions that can occur in any person who does not have lupus. 2  Stress can be associated with (precipitate or initiate) the first appearance of their lupus. 3  Stress may be associated with a flare-up of their already existing disease.
Because lupus can affect so many different organs, a wide range of symptoms can occur. These symptoms may come and go, and different symptoms may appear at different times during the course of the disease. The most common symptoms of lupus, which are the same for females and males, are: Extreme fatigue (tiredness)