Outpatient management of systemic lupus erythematosus
GERALD N. SIMS, MD
Howard R. Smith, MDAddress reprint requests to H.R.S., Chief of Rheumatology, Meridia Huron Hospital, 13951 Terrace Road, East Cleveland, OH 44112.
Systemic lupus erythematosus (SLE) is often managed by primary care practitioners, who must coordinate the care with the support of subspecialists. The management of patients with such a serious and chronic disease can be both rewarding and challenging. This article reviews common problems and suggests management strategies.KEY POINTS
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Infections are the leading cause of death in lupus patients, and immunizations and antibiotic prophylaxis need to be considered.
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Some of the most perplexing problems seen in SLE relate to neuropsychiatric features.
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