What department should I go to for systemic lupus erythematosus?

Written by Li Jing
Rheumatology
Updated on September 02, 2024
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Systemic lupus erythematosus is an autoimmune disease and can test positive for multiple antibodies, affecting various organs throughout the body. Its primary manifestations are damage to the skin, mucous membranes, and kidneys. The most common and characteristic symptom is the butterfly rash on the skin and mucous membranes. Some people may also experience facial rashes, blisters, and even chilblain-like changes. Such skin changes should be viewed with caution. Additionally, symptoms can include general weakness and low-grade fever. This condition requires formal treatment from a rheumatology and immunology department.

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Written by Li Jing
Rheumatology
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What medication is used for systemic lupus erythematosus?

Systemic lupus erythematosus is a global autoimmune disease that can involve multiple systems and organs. The cause of the disease is unclear, and it cannot be completely cured; it can only be managed through medication. However, once the condition stabilizes, the medication dosage can be gradually reduced and maintained at a low dose. The preferred treatment is corticosteroids, but if there is damage to other organs, such as pulmonary interstitial fibrosis or renal damage and proteinuria, it is necessary to combine immunosuppressants. This is done to prevent recurrence of the disease and to manage complications that may arise during the reduction of steroids. Additionally, it is crucial to be cautious about sun protection, avoid oral contraceptives, and prevent exposure to cold and overexertion. (Please take medication under the guidance of a doctor.)

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Written by Li Jing
Rheumatology
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Is systemic lupus erythematosus serious?

Firstly, whether systemic lupus erythematosus (SLE) is severe cannot be generalized. It is an autoimmune disease that cannot be completely cured and can cause damage to multiple systems and organs, leading to serious complications. Therefore, it is crucial to conduct a clinical analysis and assess the severity of the condition as mild, moderate, or severe after diagnosis. Furthermore, if severe anemia or a decrease in platelets occurs, the condition is relatively severe, and the presence of oliguria or anuria or central nervous system damage, this is known as lupus crisis. These conditions can be life-threatening, even leading to death. In such cases, the condition is relatively critical, and it is essential to actively treat and control the condition. Once the condition stabilizes, the medication dosage should be gradually reduced to maintain stability.

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Can systemic lupus erythematosus become pregnant?

Firstly, systemic lupus erythematosus is a multisystemic, systemic autoimmune disease that can involve multiple organs throughout the body. Regarding the issue of whether one with systemic lupus erythematosus can become pregnant, it cannot be generalized and must be considered in conjunction with the condition of the disease. For example, if the disease is in its early stages and has been stabilized through treatment, then it is possible to become pregnant. If systemic lupus erythematosus has already presented with severe complications, such as lupus nephritis, significant proteinuria, or an increase in creatinine urea, affecting kidney function and causing kidney damage, then it is not recommended to become pregnant during this period. Pregnancy at this time not only offers no substantial benefit to the person with systemic lupus erythematosus but can also increase the burden on the kidneys, leading to further deterioration of kidney function, which can be life-threatening.

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Written by Yang Ya Meng
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Can people with systemic lupus erythematosus eat mutton?

Patients with systemic lupus erythematosus should not eat lamb. This is because foods like lamb and dog meat are overly warming and nourishing, and they may trigger a relapse of the disease. Patients should also consume less of the foods that are photosensitive, such as celery, coriander, and mushrooms. Moreover, since lupus is an autoimmune disease and patients tend to have hypersensitive constitutions, they should also reduce their intake of seafood such as shrimp and crab. Additionally, patients should avoid certain warming and nourishing foods like longan. At the same time, they can supplement their diet with high-quality, low-protein foods like egg whites and fish.

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Written by Yang Ya Meng
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Typical skin manifestations of systemic lupus erythematosus

The most typical skin rashes of systemic lupus erythematosus are called butterfly rash and discoid rash. The so-called butterfly rash is a rash on both sides of the nostrils, resembling the wings of a butterfly, and the so-called discoid rash is a circular, disc-shaped rash on the facial area. At the same time, patients with systemic lupus erythematosus may also experience reticular purpura or vasculitic rashes like those of end-finger vasculitis, all of which are typical manifestations of skin rashes in patients with systemic lupus erythematosus.