SYSTEMIC LUPUS ERYTHEMATOSUS (SLE)

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Last Updated : 12/10/2006
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Dr Gurmeet Mangat
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Management
Patient and parent education: This forms the most vital part of management. It should be made clear that this disorder is chronic and needs careful and continued follow-up. As yet there is no cure but like diabetes or hypertension, good control is possible. Worry regarding the side-effects of the medications is inevitable. However, the consequence of untreated disease could be very serious, and hence the need for regular medications. Every effort will be made by the treating physician to control the disease and at the same time minimize the side effects.

As the skin lesions and at times the disease can worsen with sun exposure, it should be avoided especially when the disease is active.

Medications: For mild to moderate disease, painkillers, chloroquine and small doses of steroid may be sufficient. Those with serious involvement of the kidneys, nervous system, hematological system or cardiovascular system need appropriate aggressive therapy. This often includes high doses of steroids along with drugs like cyclophosphamide.

Regular tests: It is important to realize that since the disease is chronic, regular tests may be needed to monitor both the disease and the drug side effects. Urine Examination should be done on monthly basis to detect early renal involvement. CBC & ESR can be done on 2-3 monthly basis.



Contributor Information and Disclosures Dr Gurmeet Mangat
Consultant Rheumatologists, P.D.Hinduja Hospital, Mumbai, India


First Created : 12/10/2001
References
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