What should be done if systemic lupus erythematosus causes a fever?

Written by Yang Ya Meng
Rheumatology
Updated on December 22, 2024
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If patients with systemic lupus erythematosus develop a fever, it is first necessary to determine whether the fever is caused by poor control of systemic lupus erythematosus, leading to an immune-related fever, or if it is due to the patient's long-term use of corticosteroids and immunosuppressants, resulting in decreased resistance and an acute infection, thus causing the fever.

If the fever is immune-related, it will be necessary to strengthen treatment with corticosteroids and immunosuppressants. If the fever is due to an infection, regular anti-infection treatment will be required, which sometimes includes antifungal, antibacterial, and antiviral therapies.

(The use of medications should be carried out under the guidance of a doctor)

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Written by Li Jing
Rheumatology
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Initial symptoms of systemic lupus erythematosus

Systemic lupus erythematosus is an autoimmune disease that affects multiple systems and organs and is associated with a variety of autoimmune antibodies, primarily occurring in women of childbearing age. Its clinical manifestations are diverse, with the condition being mild and recurrently evolving. The most common symptoms involve changes to the skin, where various types of edematous erythema can occur, and in severe cases, there can be blisters, ulcers, erosion, skin atrophy, hyperpigmentation, and scar formation. Among these, the butterfly rash is most specific. Additionally, other symptoms may include joint swelling and pain; kidney involvement can lead to foamy urine, which is a common presentation; gastrointestinal involvement can cause diarrhea, and neurological involvement can lead to mental disorders and seizures. Therefore, once facial rashes, photosensitivity, or joint swelling and pain occur, it is crucial to be vigilant, undergo relevant examinations promptly, diagnose early, and treat early, as it is very important for the prognosis of the disease.

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What department should I go to for systemic lupus erythematosus?

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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Systemic lupus erythematosus is not contagious.

Systemic lupus erythematosus is a chronic autoimmune disease that can damage multiple systems and affect multiple organs. Its occurrence is related to genetics, environmental pollution, hormonal levels, and infections. It is classified as an autoimmune disease and is not infectious or contagious. Once diagnosed with systemic lupus erythematosus, it is important to thoroughly complete related examinations and assess the activity level of the disease, as treatment plans vary accordingly. Therefore, for patients with systemic lupus erythematosus, there is no need to worry about it being contagious. However, there is a hereditary tendency, meaning if the parents have it, the likelihood of their children developing the disease is significantly higher than others.

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Rheumatology
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Systemic Lupus Erythematosus Symptom Chart

Firstly, systemic lupus erythematosus is a multi-system, multi-organ autoimmune disease that cannot be cured but can only be controlled with medication to slow the progression of the disease and prevent complications. Clinical manifestations are diverse, with most early symptoms typically being atypical, and sometimes not presenting any discomfort at all. Some individuals may experience acute onset, which can include high fever, progressive decline in platelets, and even progressive anemia, all characteristic of the acute phase. Other common symptoms include fever, skin erythema, and even ischemia of the extremities. Some people may experience joint pain, mainly in the finger joints and knee joints, as well as swelling of the lower limbs, chest tightness, and decreased exercise tolerance, which are more typical manifestations.

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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.