What is your approach to treatment of lupus peritonitis?
1 Answer
Mednet MemberInvited Expert
Rheumatology · Hackensack University Medical Center
Answered on
Lupus peritonitis is difficult to treat and there are no evidence-based approaches, to my knowledge.
I think ruling out other causes like malignancy, infection, perforation, thrombosis, liver disease, and renal/cardiac causes, as well as malabsorption and malnutrition, is the first step.
Then I treat with steroids, hydroxychloroquine, azathioprine as the first step, then try additional immunosuppressives (MMF, cyclophosphamide). Other SLE manifestations can help guide therapy.
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