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.
Although lupus can affect any part of the body, the most common symptoms are achy joints, frequent fevers, arthritis, fatigue, skin rashes, kidney problems, chest pain with deep breathing, a butterfly-shaped rash across the cheek and nose, photosensitivity, impaired vision, Raynaud's phenomenon, and seizures.upus is a widespread and chronic autoimmune disease that, for unknown reasons, causes the immune system to attack the body's own tissue and organs, including the joints, kidneys, heart, lungs, brain, blood, or skin. The immune system normally protects the body against viruses, bacteria, and other foreign materials.