Systemic lupus erythematosus   

Questions discussed in this category


For example, the patient may have other findings such as an elevated CRP. Would you diagnose SLE, or would you want to see other serologies or finding...

How long has it been back on the market? What is the typical cost for patients? Are certain compounding pharmacies regularly carrying it? 

How would you work up an elderly female with persistent anemia secondary to warm AIHA requiring almost monthly transfusion, with positive ANA,dsDNA (b...

Do you refer all patients with suspected LN, patients with confirmed LN, or patients with specific features (not responding to usual therapy, certain ...

What disease activity index do you find more useful and most practical in a busy clinical setting? How often do you assess it?This question is part of...

For example, when switching from MMF to azathioprine, do you overlap the treatments as you lower the dose of one and add the other?

Patient with negative blood cultures, completed 6 weeks of IV antibiotics and vegetation persists. CT imaging without evidence of malignancy. No evide...

This question is part of a collaboration with RheumMadness and is specifically in reference to: Antibodies Before SLE.

ANA patients referred to rule out CTD is a work-intensive, costly referral type. If they are positive for Anti-Dense Fine Speckled Protein 70 kDa (DFS...

(Refractory to mycophenolate, azathioprine, and methotrexate. UpToDate suggests thalidomide or IVIG with mixed efficacy, while there are some case rep...

And if so, what is your approach to the diagnosis?

Female patient in her 20's with RA/SLE has been on steroids and methotrexate, currently on HCQ and Orencia. Failing Orencia with active disease. Want ...

A specific example would be a clinically quiescent but serologically active patient.

Extrapolating from reactions with other sulfa medications potentially causes flares.

Do you do blood work? Or do you rely on review of systems?

In addition, what formula do you use to calculate the IgG index?

Do you typically start the patient on hydroxychloroquine?  What work-up do you perform?

A female in her 50s with iatrogenic Cushing's Syndrome presenting for management of SLE with low disease activity (but not remission) in the setting o...

There are studies that show hydroxychloroquine inhibits autophagy (the orderly degradation and recycling of the contents of the cytoplasm for the cell...

Classically, lupus mouth ulcers are large non-painful blisters at the roof of the mouth. What do you do with small scattered blisters, painful or not ...

For example, a patient with a bone marrow biopsy that shows normocellular bone marrow. Prior management with leflunomide and HCQ with neutropenia attr...

I get a lot of low false positive ds dna (sometimes high- 300) in quest and labcorp but their crithidia specific dsDNA  labs when repeated are ne...

This question is part of a collaboration with RheumMadness and is specifically in reference to: Hydroxychloroquine Withdrawal.

If a deficiency is present, do you consider IVIG to treat non-infectious symptoms such as skin rash, arthritis or hematological abnormalities? 

Several speakers at ACR 2021 commented on the important role of drug levels in the management of these patients and cautioned against adding medicatio...

This question is part of a collaboration with RheumMadness and is specifically in reference to: EMBRACE

Patients frequently mention diagnosis of SLE years ago but recent Sm, dsDNA (crithidia) and complements can be normal. Can treatment with medications ...

Such as patients with negative Hepatitis B surface antigen and negative viral load but with positive hepatitis b core antibody.

(assuming that the malignancy evaluation has been completed and the lymphadenopathy is confirmed to be reactive)

Do you routinely check IgA anticardiolipin and beta-2 glycoprotein antibody IgA in your practice? And how would a positive result change your manageme...

Especially given the recent FDA approval of voclosporin, how should we think about the use of this medication for LN? 

In other words, do we think of TNFi induced lupus and TNFi induced psoriasis as a drug effect or a class effect? 

If so, are there specific patient populations for which you would use this metric?

To my understanding, sm/RNP should also be positive in this situation (and one would assume a positive ANA as well)

How do you counsel these patients about hormonal agents? 

This question is part of a collaboration with RheumMadness and is specifically in reference to: ADIRA Diet


Papers discussed in this category


Arthritis and rheumatism, 2012-04

Ann Rheum Dis, 2013 Jun 05

Arthritis and rheumatism, 2005-09

Arthritis & rheumatology (Hoboken, N.J.), 2015-05

Lupus,

Best Pract Res Clin Obstet Gynaecol, 2019 Nov 13

J. Am. Coll. Cardiol.,

Arthritis and rheumatism, 1982-11

Arthritis and rheumatism, 2012-08

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Arthritis Rheum.,

Arthritis and rheumatism, 2010-01

J. Rheumatol., 2019 Sep 01

N Engl J Med,

Southern medical journal, 2016-11

Annals of the rheumatic diseases, 2011-05

Atherosclerosis, 2015 Aug 28

JAMA ophthalmology, 2014-12

Can J Ophthalmol,

J Am Acad Dermatol, 2016 Feb 03

Journal of clinical rheumatology : practical reports on rheumatic & musculoskeletal diseases, 2008-10

Clin Rheumatol, 2006 Dec 21

Blood, 2015 May 13

Blood, 2009 Nov 06

Annals of the rheumatic diseases, 2011-10

Arthritis Rheum,

Rheumatol Int, 2019 Apr 30

Clin Exp Rheumatol, 2012 Sep 25

Wien Klin Wochenschr,

Kidney international, 2019-01

J Rheumatol, 2006 Jul 01

Semin Arthritis Rheum,

Lupus, 2008-08

Arthritis Rheumatol, 2021 Aug 12

Int J Clin Pract, 2021 Mar 24

Mod Rheumatol, 2021 Feb 09

Heart Rhythm, 2020 Jun 28

Blood,

Arthritis care & research, 2018-03

J Clin Rheumatol, 2020 Sep 18

Cureus, 2020 Aug 02

The New England journal of medicine, 2003-10-16

Lupus, 2007

J Allergy Clin Immunol, 2020 May 22

Nat Rev Rheumatol,

Kidney international, 2009-12

Clinical journal of the American Society of Nephrology : CJASN, 2010-07

Journal of the American Society of Nephrology : JASN, 2010-08

Am J Kidney Dis, 2016 Sep 16

J Rheumatol, 2004 Aug

Arthritis & rheumatology (Hoboken, N.J.), 2015-07

Arthritis Rheum,

Lancet, 2021 May 07

Autoimmunity reviews, 2009-02

Arthritis and rheumatism, 2013-07

Arthritis Rheumatol, 2021 Mar 24

Rev Med Interne, 2016 Oct 13

Arthritis Care Res (Hoboken), 2021 Mar 30

JAMA Dermatol,

Mod Rheumatol, 2020 Sep 17

Ann Rheum Dis, 2014 Feb 13

Ann Rheum Dis, 2019 Jan 04

Ann Rheum Dis, 2014 Apr 16

N Engl J Med, 2019 Dec 18

Seminars in arthritis and rheumatism, 2010-12

Clin Exp Rheumatol, 2012 Oct 17

Inflamm Bowel Dis,

Am J Clin Dermatol,

Journal of the American Society of Nephrology : JASN, 1993-07

Arthritis and rheumatism, 2013-02

American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons, 2014-02

Lupus, 2018-03

Annals of the rheumatic diseases, 2019-10

Lupus,

Arthritis Rheum,

Rheumatology (Oxford), 2021 May 18

Am J Transplant, 2013 Jun 13

Best practice & research. Clinical anaesthesiology, 2014-06

The Journal of rheumatology, 2016-08

JCI Insight, 2021 Feb 08

Arthritis Rheumatol, 2021 Jun 01

Adv Ther, 2018 Mar 20

J Arthroplasty, 2017 Jun 19

Int J Mol Sci, 2020 Mar 04

Open Access Rheumatol, 2019 Jan 29

Respirology, 2016 Dec 17

Lupus, 2013-07

Arthritis care & research, 2019-07

Arthritis care & research, 2019-11

J Rheumatol,

Lupus Sci Med, 2018 May 14

Lupus Sci Med,

Lupus, 2015 Jul 10

Lupus science & medicine, 2014

The Journal of rheumatology, 2015-11

Ophthalmology, 2016-06

Lupus science & medicine, 2017

Journal of immunology research, 2017

Lupus science & medicine, 2018

Clin Pharmacol Ther, 2018 Jun

Lupus Sci Med, 2016

Lupus Sci Med, 2016 Feb 01

Lupus Sci Med,

ACR Open Rheumatol, 2020 Oct 12

Arthritis Rheumatol, 2021 May 02

Ann Rheum Dis, 2012 Nov 10

Arthritis Rheum,

Lupus,

Arthritis Rheumatol, 2020 Jan 07

Annals of the rheumatic diseases, 2012-08

J Rheumatol, 2013 Nov 15

Arthritis Res Ther, 2005 Mar 01

JAMA Ophthalmol, 2015 Oct

JAMA, 2022 Oct 11

Front Immunol, 2021 May 14

Lupus Sci Med, 2019

Current rheumatology reports, 2018-09-10

Nat Rev Cardiol, 2019 Jun 26

Seizure, 2020 Apr 26

The American journal of medicine, 1996-07

BMC Nephrol, 2020 Oct 28

Arthritis Rheum,

Thromb Haemost, 2020 Jul 21

Best practice & research. Clinical rheumatology, 2013-06

Dermatol Ther, 2016 Apr 12

The Journal of rheumatology, 1992-02

The British journal of dermatology, 2011-03

Current opinion in rheumatology, 2018-09

Lupus, 2014 Feb 20

Ann Rheum Dis, 2019 Feb 04

Br J Dermatol, 2011 Jul 11

Mod Rheumatol, 2016 Feb 17

BMJ open, 2019-03-20

J Inflamm Res, 2020 Sep 14

Arthritis Rheumatol, 2017 Apr 07

The Journal of rheumatology, 2013-05

Lupus, 2013-02

Archives of internal medicine, 2004

Lupus, 2021 Jan 05

Arthritis Rheumatol, 2018 Jun 27

Curr Cardiol Rep, 2021 Jul 28

Clin Exp Rheumatol, 2013 Aug 02

Arch Dermatol,

Lupus, 2017 Sep 01

Lupus, 2016 May 27

Br J Dermatol, 2019 Apr 07

Lupus, 2020 Apr 21

Autoimmun Rev, 2012 Nov 30

Ann Rheum Dis, 2022 Mar 25

Lupus science & medicine, 2018

Arthritis Rheum,

Ther Adv Musculoskelet Dis, 2022 Feb 14

Sleep Breath, 2021 Nov 12

Rheumatol Int, 2019 Jan 02

Lupus,

Clin Immunol, 2020 Oct 02

Ann Intern Med,

Sleep,

Worldviews Evid Based Nurs, 2017 Apr 22

Am J Clin Dermatol,

Lupus, 2020 Feb 09

Am J Med,

Front Immunol, 2021 Jul 14

J Rheumatol, 2017 May 15

Ophthalmology, 2014-10

Br J Ophthalmol, 2015 Apr 22

Am J Ophthalmol,

Transplant Proc,

The American journal of medicine, 1983-09

Arthritis care & research, 2011-06

Kidney international, 2018-04

Kidney Int, 2010 Feb 24

Journal of the American Academy of Dermatology, 2011-05

Clin Exp Rheumatol, 2013 Aug 02

J Rheumatol, 2022 Aug 01

Journal of clinical pharmacology, 2011-08

Transpl Int, 2014 Aug 22

J Clin Med, 2021 Feb 09

Lancet Oncol, 2019 Jan

Arthritis Care Res (Hoboken), 2022 Aug 04

JAMA dermatology, 2018-10-01

,

Archives of dermatology, 2002 Sep

The New England journal of medicine, 2019-01-24

N Engl J Med, 2022 Dec 22

Arthritis and rheumatism, 2009-09-15

Lupus, 2020 Apr 11

J Rheumatol, 2009 Oct 15

ACR Open Rheumatol, 2022 Nov

J Rheumatol, 2009 Jan 22

PLoS One, 2022 Oct 10

Front Immunol, 2022 May 26

Rheum Dis Clin North Am, 2022 Feb

Lupus Sci Med, 2021 Jan

Arthritis Care Res (Hoboken), 2020 Aug 19

Ann Rheum Dis, 2021 Dec 15

Lupus Sci Med, 2021 Apr

Arthritis Res Ther, 2006

Adv Biomed Res, 2016 Aug 30

Lupus, 2022 Mar 25

Rheumatology (Oxford, England), 2018-09-01

J Manag Care Spec Pharm, 2022 Jul 01

Diagnostics (Basel), 2021 Sep 01

Front Immunol, 2021 May 27

Chest, 2021 Feb

Expert review of clinical immunology, 2015 Dec 22

The neurologist, 2017 Jul

Immunol Invest, 1985 Jun

Rheumatology (Oxford), 2022 Nov 02

Rheumatic diseases clinics of North America, 2021 Feb 25

Lupus science & medicine, 2023 Jan

Semin Arthritis Rheum, 2007 Feb

J Clin Rheumatol, 2021 Dec 01

Am J Med, 1984 Mar 30

Lupus, 2007

Autoimmun Rev, 2022 Aug 24

Rheumatology (Oxford, England), 2002-08

Int Arch Allergy Immunol, 2010 Apr 22

N Engl J Med, 2003 Oct 23

Ann Dermatol Venereol, 1997

Presse Med, 2006 Jul-Aug

Arthritis Rheum, 2004 Oct

Seminars in hematology, 2002-04

Blood, 2002 Jan 01

J Rheumatol, 2020 Apr 01

J Rheumatol, 2022 Oct 15

Ann Intern Med, 2020 Sep 22

BMC Rheumatol, 2021 Oct 01

Clin Ophthalmol, 2011 Oct 04

Lupus, 2019 Jul 10

Ann Med, 2021 Dec

Arthritis Care Res (Hoboken), 2021 Jul 07

Front Immunol, 2019 Mar 06

Cell Physiol Biochem, 2017 Nov 14

Clin Cancer Res, 2014 Jun 15

Journal of immunology (Baltimore, Md. : 1950), 2004-08-15

Arthritis care & research, 2019-01

Lupus, 2018-08

Arthritis Rheumatol, 2014 Sep

Arthritis Care Res (Hoboken), 2012 Apr

Lupus, 2022 Jan 23

Arthritis Care Res (Hoboken), 2022 Dec 20

Arthritis Rheumatol, 2020 Apr 01

Ann Rheum Dis, 2022 Jul 07

Ann Afr Med, 2020 Jul-Sep

Arch Dermatol, 2006 Mar

Clin Rev Allergy Immunol, 2010 Apr

Lupus, 2020 Mar 19

Ann Rheum Dis, 2022 Oct 05

Ann Rheum Dis, 2023 Jan 05

Lupus, 2022 Nov 30

Arthritis and rheumatism, 2009-11

Rheumatology (Oxford), 2014 Oct 21

Cureus, 2019 Aug 19

J Rheumatol, 2007 Sep 15

Rheumatol Int, 2007 Jul 20

Lupus, 2017 Feb 26

Seminars in arthritis and rheumatism, 2016 Sep 21

Clinical rheumatology, 2018 May 11

Nature communications, 2021 Jun 07

Lancet (London, England), 2023 Feb 24

Lancet (London, England), 2023 Feb 24

Clinical and experimental dermatology, 2021 Mar 09

JAAD case reports, 2019 Mar 01

Dermatologic therapy, 2020 May 03

BMC nephrology, 2019 Oct 31

Clinical journal of the American Society of Nephrology : CJASN, 2008-01

Rheumatology international, 2011 Feb 23

Arthritis & rheumatology (Hoboken, N.J.), 2023 Jun 01

Arthritis care & research, 2016 Jan

Lupus, 2014 Feb 06

Lupus, 2019-05

Journal of the American Academy of Dermatology, 2020 Apr 28

The British journal of dermatology, 2003 Jul

Lupus, 2018 Oct 05

Journal of the American Academy of Dermatology, 2017 Oct 06

Annals of the rheumatic diseases, 2023 Oct 12

Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association, 2013 Jun 19

Clinical journal of the American Society of Nephrology : CJASN, 2020 Mar 09

Kidney international, 2021 Apr 18

The New England journal of medicine, 2022 Nov 04

Lupus science & medicine, 2020 Feb 18

Arthritis & rheumatology (Hoboken, N.J.), 2023 Jul 19

Lupus science & medicine, 2023 Nov 22

Arthritis research & therapy, 2020 Sep 25

Autoimmunity reviews, 2017 Feb 13

Thrombosis research, 2023 Feb 10

Lupus, 2017 Mar 29

Lupus Sci Med, 2018

Clinical journal of the American Society of Nephrology : CJASN, 2017-05-08

Arthritis & rheumatology (Hoboken, N.J.), 2023 Jun 25

Modern rheumatology, 2020 Jun 16

Arthritis care & research, 2023 Nov 28

Current opinion in rheumatology, 2014-03

Rheumatology (Oxford, England), 2013 Feb 04

Arthritis Rheumatol, 2020 Aug 4

Trials, 2022 Nov 12

Annals of internal medicine, 2021 Oct 26

Arthritis care & research, 2019 Jun

Annals of the rheumatic diseases, 2021 Oct 06

Lupus, 2020 Oct 20

Cureus, 2023 May 10

Clinical journal of the American Society of Nephrology : CJASN, 2009 Mar 04

Lupus, 2024 Jan 16

Arthritis care & research, 2022 Feb 08

Rheumatic diseases clinics of North America, 2006 Feb

The New England journal of medicine, 1986 Mar 06