systemic%20lupus%20erythematosus
SYSTEMIC LUPUS ERYTHEMATOSUS
Systemic lupus erythematosus is a chronic, multisystem, inflammatory, autoimmune disorder characterized by formation of autoantibodies directed against self-antigens and immune-complex formation.
It can be diagnosed with a single organ involvement such as lupus nephritis.
It is predominantly diagnosed in females of childbearing age.
Clinical presentation varies in different patients and the disease activity varies over time in a single patient. Majority of patients have arthralgia of the hand.

Systemic%20lupus%20erythematosus Patient Education

Patient Education

  • Patients should be provided with information, counseling and support
  • Involve all the family members in counseling regarding the disease
    • Family must have a thorough understanding of the disease, its potential severity and complications of the disease and treatment
  • Patient must learn to cope and monitor the disease
    • He or she should be able to distinguish signs and symptoms that may precede a disease flare and consult with the physician immediately
    • Educate all patients regarding possible complications from unplanned pregnancy, poor compliance,recreational drug use and infection
    • For married patients, contraception is important during the active phase of the disease
  • Advise patients to join other SLE patients in support groups
  • Patients must be advised to wear clothing with long sleeves, use umbrella or sunscreen lotion and refrain from sunbathing to prevent exacerbation of dermatologic symptoms
    • Use sunscreen with at least a sun-protection factor (SPF) of 15-30 to prevent dermal or systemic disease flares upon exposure to ultraviolet light
  • Patients must have appropriate diet to prevent obesity, osteoporosis and dyslipidemia
  • Patients on corticosteroids should have a no-added-salt, low-fat and calcium-sufficient diet
  • Advise patients to seek medical help when they have fever
    • Exposure to immunosuppressive drugs used in SLE may predispose patients to infection
  • Encourage patients to maintain a normal lifestyle
    • Regular exercise to maintain appropriate weight and bone density
    • Advise patients that fatigue and stress are associated with disease flare
    • Smoking cessation is recommended
  • Patient’s blood pressure and glucose and lipid levels should be assessed and managed appropriately 
  • Immunization should be updated for all patients
    • Patients should have appropriate immunizations (ie influenza, pneumococcal)
    • Patients with SLE are often complement deficient and are at risk for encapsulated organisms
  • Antibiotic prophylaxis for all dental, genitourinary and other invasive procedures for patients at high risk of infections (eg patients with valvular abnormalities, on immunosuppressive therapy)
  • Patients should routinely undergo gynecologic assessments, dental care and ophthalmologic exam especially for patients taking corticosteroids and Hydroxychloroquine
  • Psychological support may also be necessary
Digital Edition
Asia's trusted medical magazine for healthcare professionals. Get your MIMS Rheumatology digital copy today!
Sign In To Download
Editor's Recommendations
Most Read Articles
Jairia Dela Cruz, 19 hours ago
For individual with type 2 diabetes, losing weight is everything when it comes to improving the metabolic function, and it matters little whether this is achieved by dieting or undergoing bariatric surgery, according to a small study.
Pearl Toh, 21 Sep 2020
Early and sustained treatments with simplified regimen are the key to achieving good asthma control, said experts during a presentation at the ERS 2020 Congress.
2 days ago
Percutaneous coronary intervention (PCI), compared with coronary artery bypass grafting (CABG), in the revascularization of left main coronary artery (LMCA) disease may lead to death, myocardial infarction (MI), or stroke in patients with moderate or severe left ventricular (LV) dysfunction, reveals a study.
16 Sep 2020
XOFLUZA – Baloxavir marboxil 20 mg and 40 mg FC tab