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.
Symptoms of Lupus. Each person with lupus has slightly different symptoms that can range from mild to severe and may come and go over time. However, some of the most common symptoms of lupus include painful or swollen joints (arthritis), unexplained fever, and extreme fatigue.A characteristic red skin rashâthe so-called butterfly or malar rashâmay appear across the nose and cheeks.ther symptoms of lupus include chest pain, hair loss, anemia (a decrease in red blood cells), mouth ulcers, and pale or purple fingers and toes from cold and stress.