Systemic Lupus Erythematosus

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Questions and Answers

What is the cornerstone of treatment for lupus?

  • Glucocorticoids
  • Cytotoxic agents
  • Hydroxychloroquine (correct)
  • Immunosuppressive agents

What should be done for all patients with lupus?

  • Use of immunosuppressive agents
  • Monitoring by family physicians
  • Referral to a rheumatologist
  • Education, counseling, and support (correct)

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

  • Mild cases can be monitored by family physicians (correct)
  • When glucocorticoids are not effective
  • When cytotoxic agents are needed
  • When coordination between rheumatologists and family physicians is important

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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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