| If an individual fails to recover within the expected maximum duration period, the reader may wish to consider the following questions to better understand the specifics of an individual's medical case. Regarding diagnosis:
- Has diagnosis of systemic lupus erythematosus (SLE) been confirmed?
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If diagnosis is uncertain, have other conditions with similar symptoms been ruled out?
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Is there a family history of SLE or other connective tissue disorders?
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Does individual report spontaneous remissions and relapses?
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Has individual experienced complications such as impairment of vital organs (lungs, heart, brain, or kidneys), opportunistic infections, retinal damage, or hypertension that may affect recovery?
Regarding treatment:
- Because there is no cure, has treatment been aimed at reducing inflammation and relieving symptoms?
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If symptoms are made worse by sunlight, is individual avoiding exposure to sunlight? Does individual use sunscreen?
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If condition was triggered by a drug, has that drug been withdrawn? Can another drug be substituted?
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Have antimalarial drugs been effective against skin rash?
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Was an appropriate exercise program recommended? Is individual complying with exercise plan?
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If corticosteroids were ineffective against a serious systemic involvement, is use of cytotoxic drugs indicated?
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Has individual experienced kidney failure? If dialysis was necessary, are kidneys functional again?
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Are individual's psychological needs being met through counseling or other support?
Regarding prognosis:
- If symptoms persist despite treatment, does diagnosis need to be revisited?
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Does individual have access to factors indicating an improved prognosis, such as faster and more effective treatment, availability of dialysis for treatment of kidney failure, and more availability of antibiotics effective in treating infectious complications?
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Does individual have a comorbid condition such as kidney disease, hepatitis, or multiple sclerosis that may complicate treatment and affect recovery?
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Source: Medical Disability Advisor