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Rheumatology · Sub-specialty

Systemic Lupus Erythematosus

Overview

Systemic Lupus Erythematosus (SLE) is a chronic autoimmune disease that can affect any part of the body, including the skin, joints, kidneys, heart, and brain. Our care strategy aims to reduce inflammation, prevent flares, and manage symptoms through a personalized treatment approach. This involves medications, lifestyle adjustments, and close monitoring, all tailored to your specific needs and the manifestations of your lupus.

Systemic Lupus Erythematosus
Our approach to care

Review your comprehensive medical and symptom history, focusing on lupus indicators. Perform a physical examination, looking for characteristic signs like the malar rash and joint swelling. Order blood tests for specific antibodies associated with lupus, including ANA, anti-dsDNA, and anti-Smith antibodies. Conduct urine tests to check for kidney involvement. Recommend imaging tests, such as X-rays or echocardiograms, to assess organ involvement. Skin biopsy might be necessary for diagnosing cutaneous lupus forms. Consultation with specialists may be required for comprehensive care, including nephrologists for lupus nephritis or dermatologists for skin manifestations.

Prescribe antimalarial drugs like hydroxychloroquine for skin and joint symptoms. Utilize corticosteroids and immunosuppressants to control immune system activity and prevent organ damage. Recommend NSAIDs for pain and swelling in joints and muscles. Biologic agents may be introduced for severe cases not responding to traditional treatments. Lifestyle modifications, including UV protection and a balanced diet, are advised to support overall health. Regular monitoring and adjustments of medication based on disease activity and side effects. Supportive therapies such as physical therapy, counseling, and nutritional support, to manage symptoms and improve quality of life.

Closely follow your medication plan to manage lupus activity and prevent flares. Monitor for new or worsening symptoms and report them to your healthcare provider. Protect your skin from the sun using high SPF sunscreen and wearing protective clothing. Maintain a healthy lifestyle with a balanced diet and regular exercise to support your immune system. Avoid known triggers that can provoke lupus flares, such as stress and ultraviolet light. Stay up-to-date with vaccinations, consulting with your doctor for the best approach. Regular check-ups are essential for monitoring lupus activity and adjusting your treatment plan as needed.

We’ll discuss any changes in your symptoms or health to assess lupus activity and treatment effectiveness. A thorough examination will be performed to evaluate any visible lupus manifestations or complications. We may update your diagnostic tests, including blood and urine tests, to monitor disease activity and organ function. Your current treatment regimen will be reviewed, and adjustments will be made based on your progress and any side effects. We’ll provide advice on managing your condition, including strategies to cope with symptoms and prevent flares. Follow-up appointments will be scheduled to ensure continuous care and to adapt your treatment plan as needed

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Gout and Crystal Arthropathies

Soft Tissue Rheumatism

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