Systemic Lupus Erythematosus
Alternate Names : Lupus
What are the treatments for the disease?
Although there is no cure for SLE, certain things can help prevent
flare-ups. Persons with SLE should avoid intense sun exposure. Liberal use of
sunscreens, long-sleeved shirts, and hats are helpful.
Since infections are common, persons with SLE should seek prompt evaluation of
fevers. A yearly flu vaccine is recommended. If the spleen is removed, the person
should receive the pneumococcal vaccine. Individuals should also receive
antibiotics before any dental procedures.
A number of medications are used to treat SLE, including the following:
antimalarial medications, such as quinacrine and
hydroxychloroquine. These are used to treat skin problems and arthritis.
corticosteroids, such as prednisone and methylprednisolone. These reduce
the immune system response.
nonsteroidal anti-inflammatory drugs, or NSAIDs, such as ibuprofen and
naproxen. These medications reduce fever and treat pain.
powerful cytotoxic medications, which kill cells. These are used to treat nephritis, a serious kidney problem.
Individuals with end-stage kidney disease may benefit
from kidney dialysis or a
kidney transplant.
What are the side effects of the treatments?
The medications used to treat lupus have significant side effects.
Unfortunately, some of these side effects can mimic the symptoms of the disease
itself.
NSAIDs can cause stomach irritation, allergic reaction, and decreased kidney function.
Antimalarial medications can cause
rash, muscle
weakness, and nerve problems.
Corticosteroids have a host of possible side effects. These include weight
gain, high blood pressure, osteoporosis, and increased risk of infection.
The cytotoxic medications can cause problems with the bladder and with blood cell production.
What happens after treatment for the disease?
Systemic lupus erythematosus is a chronic disease that fluctuates over time.
The best way to manage it is by active collaboration between the individual and
his or her healthcare providers.
How is the disease monitored?
Periodic examinations allow the healthcare provider to monitor the activity of
the disease and determine possible complications. A variety of blood tests help
in the monitoring of the disease. Any new or worsening symptoms should
be reported to the healthcare provider.
|
Previous section
