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Li Jing
Rheumatology
About me
Graduated from Sanquan College of Xinxiang Medical College in 2010, and has been working at Kaifeng Central Hospital since graduation.
Proficient in diseases
Proficient in the diagnosis and treatment of acute and chronic kidney disease, acute and chronic pyelonephritis, nephrotic syndrome, lupus, gout, and rheumatoid arthritis.
Voices
What causes lupus erythematosus?
Firstly, systemic lupus erythematosus is a chronic, multi-systemic, systemic autoimmune disease that commonly occurs in women of childbearing age, more frequently seen in females, with a significantly higher incidence rate in females than in males. The cause is currently unclear, only indicating that experts believe it is related to environmental pollution, viral infections, hormone levels, genetics, etc., but there is no definitive evidence proving which factors it is related to, only stating that there are studies linking it to these factors. Its clinical manifestations also vary, with most cases having a gradual onset, characterized by recurrent erythema, even pustules, Raynaud's phenomenon, etc. A minority of patients may have a sudden onset, primarily presenting with major hematologic damage.
Can systemic lupus erythematosus be cured?
Systemic lupus erythematosus is a multi-system damage and is an autoimmune disease that cannot be cured. It can only be managed with medications to control the condition, alleviate symptoms, delay complications, and thereby improve quality of life. This is the overall principle and goal in treating systemic lupus erythematosus. Once diagnosed with lupus, it is essential to classify the type and determine whether it is in an active phase to adopt appropriate treatment measures. The main treatments are corticosteroids and immunomodulators, with the dosage of corticosteroids varying according to the severity of the condition. (Specific medications should be used under the guidance of a doctor.)
Symptoms and treatment methods of rheumatoid arthritis
Rheumatic arthritis is mostly related to streptococcal infections. Additionally, respiratory viruses and mycoplasma infections can also cause joint pain. Once joint pain occurs, especially if it is asymmetrical, one should consider these infection-related factors, thus necessitating comprehensive tests including anti-streptolysin O, erythrocyte sedimentation rate, and respiratory virus tests. Whether to treat rheumatic arthritis depends on symptoms like fever and joint pain. Should there be fever and joint pain, proper medication is required, primarily the use of anti-inflammatory drugs, specifically non-steroidal ones. Treatment should be combined with long-term administration of penicillin to ensure a full course of therapy. If joint pain occurs, immobilization is essential, meaning bed rest is necessary until the joint pain eases. During this period, a light diet and adequate water intake are also recommended. (Please follow the guidance of a professional physician for medication use.)
Is allergic purpura prone to recurrence?
First and foremost, allergic purpura refers to a hemorrhagic disease that affects the capillaries in the skin or other organs; it is categorized as a rheumatic immune disease. It primarily occurs in adolescents and children aged between five to fourteen years, and cannot be cured. The disease is prone to recurring, which is its main clinical characteristic. The primary causes are infections, drugs, or food allergies, with infections being the most significant factor. Therefore, upon the appearance of skin purpura or bleeding spots, joint swelling, or signs such as hematuria and proteinuria, timely and comprehensive examinations should be conducted for diagnosis. Once the kidneys are involved, it is essential to rest in bed until the proteinuria alleviates. Moreover, it is crucial to conduct a 24-hour urinary protein quantification to assess the extent of kidney damage. If there is a significant amount of proteinuria, it is advisable to promptly perform a renal biopsy to clarify the type of pathology.
What should be noted for hyperuricemia?
Firstly, hyperuricemia is just found during routine physical examinations or blood tests, showing an increase in blood uric acid levels without the occurrence of gout attacks, meaning there are no symptoms of joint pain. At this time, there is no need for special medication, which means uric acid-lowering drugs are not required. However, you need to be cautious and change your lifestyle habits. For example, abstaining from alcohol, controlling the intake of animal organs, seafood, and barbecued foods. Additionally, drinking more water is necessary, and for overweight individuals, controlling weight and losing weight are important considerations. Also, you should avoid intense physical activities as they can trigger gout attacks, but this doesn't mean no exercise at all; slow walking and swimming are fine.
How to Treat Systemic Lupus Erythematosus?
Firstly, systemic lupus erythematosus is an autoimmune disease that commonly occurs in women of childbearing age. It is an autoimmune disease that cannot be cured but can only be managed with medications to alleviate symptoms, delay complications, and control the progression of the disease. Once diagnosed with systemic lupus erythematosus, it is necessary to score the disease activity to assess whether other organs are involved. The treatment of this disease primarily involves the use of corticosteroids, which should be calculated based on body weight. Initially, an adequate dose of corticosteroids should be administered. After stabilizing the disease for a month, the dosage should be reduced weekly. During the medication period, it is necessary to regularly monitor blood routine, liver and kidney function, complement levels, and erythrocyte sedimentation rate. (Please take medication under the guidance of a professional physician and do not self-medicate.)
What should I do about hair loss from systemic lupus erythematosus?
First, systemic lupus erythematosus is an autoimmune disease characterized by multi-organ and multi-systemic damage, a systemic autoimmune disorder. It cannot be completely cured, but its symptoms can be managed and the progression of the disease can be controlled through medication. The main clinical manifestations include facial rashes, photosensitivity, Raynaud's phenomenon, fever, hair loss, etc. Therefore, in the treatment process of patients with systemic lupus erythematosus, if there is an increase in hair loss, or if other symptoms such as photosensitivity and hair loss occur, it may be considered that the disease is active or recurring. At this time, it is necessary to go to the hospital for comprehensive tests such as blood routine, erythrocyte sedimentation rate (ESR), complement levels, and autoimmune antibodies to assess the condition. If the disease is active or recurring, an adjustment in the dosage of the treatment medications may be necessary.
Are hyperuricemia and high uric acid the same thing?
Firstly, hyperuricemia and high uric acid levels refer to the same concept, defined as blood uric acid levels greater than 420. This condition is described as asymptomatic hyperuricemia, which does not require special treatment at this stage, but it does necessitate changes in lifestyle habits such as abstaining from alcohol, avoiding eating animal organs, seafood, and high-protein foods, not drinking carbonated beverages, and losing weight if obese, to help control body weight. After changing these lifestyle habits, a recheck of the uric acid levels should be done in two weeks to see if there has been a decrease. If the levels have not decreased at that time, sodium bicarbonate tablets can be used to alkalinize the urine. Additionally, increasing water intake to promote the excretion of uric acid and monitoring the dynamic changes in uric acid levels are needed. Once joint pain occurs, which indicates an acute gout attack, proper uric acid-lowering medication is required. (Please undergo medication under the guidance of a professional physician, and do not self-medicate blindly.)
Can systemic lupus erythematosus be cured?
Systemic lupus erythematosus is an autoimmune disease and is chronic. The cause of the disease is mostly unclear, but studies have shown that it is related to genetics, environmental pollution, viral infections, hormone levels, and other factors. As an autoimmune disease, it cannot be completely cured. The main purpose of treatment is to control symptoms, delay the onset of complications, and improve the quality of life. The preferred treatment involves corticosteroids. The dosage should be adjusted according to the condition; after stabilizing, the dosage should gradually be reduced to a small maintenance dose. It is important to continue the medication even during maintenance therapy, as discontinuing the medication can lead to a recurrence of the disease. Additionally, chilling, fatigue, infection, and sun exposure can all trigger the activity of lupus, so it is important to be cautious in daily life. (Please use medication under the guidance of a doctor.)
How is hyperuricemia caused?
Hyperuricemia is mostly asymptomatic, meaning there are no uncomfortable symptoms. It is usually discovered during physical examinations or blood tests when the uric acid level is found to be elevated, around 420, which is considered hyperuricemia. What causes it? It is mainly caused by poor lifestyle habits, such as long periods of drinking alcohol, excessive intake of animal organs, seafood, barbecue, and too much protein intake. Additionally, some people may develop high uric acid levels due to prolonged use of diuretics. When hyperuricemia occurs, it is essential to change lifestyle habits, but at this time, no special medication treatment is needed.