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Medical Disability Advisor  >  Lupus Erythematosus Systemic  >  Treatment

Lupus Erythematosus, Systemic


Differential Diagnoses


Specialists


  • Cardiovascular Internist
  • Clinical Psychologist
  • Dermatologist
  • Nephrologist
  • Neurologist
  • Psychiatrist
  • Rheumatologist

Comorbid Conditions


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Factors Influencing Duration


Length of disability depends on the severity of symptoms and the organs involved. Treatment, particularly prolonged corticosteroid therapy, may produce side effects that can also cause disability.

Medical Codes


ICD-9-CM:
710.0 - Diffuse Diseases of Connective Tissue, Lupus Erythematosus, Systemic; Disseminated Lupus Erythematosus; Libman-Sacks Disease
710.9 - Diffuse Diseases of Connective Tissue, Unspecified

Treatment


There is no cure for SLE. Treatment depends on which organs are affected and whether lupus is mild or severe and is aimed at reducing inflammation and relieving symptoms. Mild lupus may not require treatment. Any drug that may have triggered lupus should be withdrawn, if possible. Individuals whose symptoms are made worse by sunlight should avoid exposure to sunlight and use sunscreen. The skin rash can often be effectively treated with antimalarial drugs, which are also indicated for disease-related fever or pleurisy. Inflammation of the joints (lupus arthritis) is treated with nonsteroidal anti-inflammatory (NSAID) drugs or antimalarial drugs. Disease-caused muscle inflammation (lupus myositis) can be treated with corticosteroids and an effective exercise program. Corticosteroids may also be prescribed for treatment of neurological symptoms, kidney disease, or severe cases of lupus. Anticancer (cytotoxic) drugs are reserved for serious systemic involvement, especially when corticosteroids have been tried but are ineffective. If the kidneys fail, mechanical support (dialysis) may be required. Psychological needs must be addressed through counseling or other support.

Source: Medical Disability Advisor






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