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Please select the option that best describes you:
Topics:
General Internal Medicine
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Rheumatology
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Systemic lupus erythematosus
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Neurology
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Neuro-immunology
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lupus
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Neuropsychiatric Lupus
What is your treatment approach to neuropsychiatric symptoms secondary to lupus?
Related Questions
What is your workup and treatment approach for cranial neuropathies in patients with lupus?
In a patient with strong serologic evidence of SLE presenting with isolated bilateral lower limb sensorimotor neuropathy, normal neuroimaging, and CSF, would you initiate cyclophosphamide with pulse-dose steroids upfront, or reserve escalation (e.g., plasma exchange or immunosuppressants) for cases refractory to steroids?
How do you approach new onset idiopathic intracranial hypertension (IIH) with someone who has history of systemic lupus erythematosus? Would you consider this to be neuropsychiatric SLE (NPSLE) manifesting as IIH?
Should IVIG dosing in patients with autoimmune disease (i.e., dermatomyositis) who become pregnant continue to be based on actual weight at the time of each infusion, or should it be limited to pre-pregnancy weight?
What is the role of inebilizumab in the maintenance treatment of IgG4-related disease?
What is the clinical significance of a low titer RNP, negative Sm, but Sm/RNP that is very high titer?
How does one interpret an SPEP showing potentially obscured but non-quantifiable M-spike however an IFE showing monoclonal protein?
Should patients starting cyclophosphamide be screened routinely for latent tuberculosis (TB)?
For patients who do not have access to biologic therapies, what are some csDMARD combination pearls or tips that you have that have particular efficacy in different rheumatologic diseases?
What is your threshold to repeat a kidney biopsy in a patient with a history of lupus nephritis who is on maintenance therapy and develops subtle changes in urinary protein excretion or microscopic hematuria?
