Systemic Lupus Erythematosus

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Questions and Answers

What is the cornerstone of treatment for lupus?

Hydroxychloroquine

What should be done for all patients with lupus?

Education, counseling, and support

When should severe cases of lupus be referred to a rheumatologist?

Mild cases can be monitored by family physicians

Study Notes

  • Systemic lupus erythematosus is an autoimmune disease that affects multiple systems.
  • Family physicians should be familiar with its manifestations for early diagnosis and monitoring.
  • The American College of Rheumatology has 11 criteria for diagnosis.
  • All patients with lupus should receive education, counseling, and support.
  • Hydroxychloroquine is the cornerstone of treatment.
  • Low-dose glucocorticoids can be used to treat most manifestations of lupus.
  • Immunosuppressive and cytotoxic agents may be used for severe cases.
  • Mild cases can be monitored by family physicians.
  • Severe cases should be referred to a rheumatologist.
  • Coordination between rheumatologists and family physicians is important for optimal treatment.

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