How is lupus treated?

Written by Zhang Lin
Rheumatology and Immunology Nephrology
Updated on September 09, 2024
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The treatment of lupus erythematosus mainly involves the following aspects: Firstly, mild patients can be treated with antimalarial drugs, such as chloroquine or hydroxychloroquine, thalidomide, and low-dose corticosteroids; moderate active patients can receive individualized treatment with corticosteroids, and immunosuppressants may be used when necessary; for severe patients, corticosteroids are the preferred treatment, combined with immunosuppressants such as cyclophosphamide. Secondly, for lupus crisis patients, treatment can involve immunoglobulin, high-dose corticosteroid pulse therapy. Thirdly, biologics, such as anti-CD20 monoclonal antibodies, plasmapheresis, and autologous stem cell transplantation, are also used clinically. Medication for treating lupus erythematosus should be used under the guidance of a doctor, and self-medication should be avoided to prevent serious consequences.

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Written by Zhang Lin
Rheumatology and Immunology Nephrology
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What are the symptoms of a lupus flare-up?

After treatment with steroids and other therapies, active lupus erythematosus usually improves and enters a stable phase. However, factors such as infection, pregnancy, surgery, fatigue, and discontinuation of medication can trigger the transition from a stable phase back to an active phase of lupus erythematosus. The following symptoms should be considered for a possible recurrence of the disease: First, onset of fever without reasons related to colds or infections. Second, appearance of new rashes or vascular-like rashes on fingertips and other areas. Third, recurrence of joint swelling and pain. Fourth, significant hair loss. Fifth, development of fresh ulcers in the mouth or nose. Sixth, development of fluid accumulation in the chest cavity or pericardium. Seventh, increased protein in urine, decrease in white blood cells or platelets, or significant anemia.

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Written by Liu Li Ning
Rheumatology
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What happens if someone with lupus occasionally drinks alcohol?

Systemic lupus erythematosus (SLE) is an autoimmune disease that can affect multiple systems and organs throughout the body and is more commonly seen in women, particularly during their childbearing years. Clinically, it is mainly characterized by fever, rash, joint pain, oral ulcers, and hair loss. In terms of diet, it is recommended to eat light and avoid spicy and irritating foods. It is crucial to strictly abstain from smoking and drinking, avoid excessive fatigue, and direct sun exposure. Importantly, patients should strictly follow medical advice regarding medication and have regular check-ups.

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Written by Zhang Lin
Rheumatology and Immunology Nephrology
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For lupus, register under the department of Rheumatology.

Patients with lupus should visit the Department of Rheumatology and Immunology, as lupus is a clinically complex autoimmune disease. Many people think that lupus is a skin disease, but this is not the case. Lupus is a rheumatic and immunological disease, belonging to the category of rheumatic immunological diseases, and is an uncommon autoimmune disease.

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Written by Liu Li Ning
Rheumatology
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How long will the skin itch in the early stages of lupus erythematosus?

The duration of itching in the early stages of lupus erythematosus is not fixed. It is not certain that early-stage lupus erythematosus will cause itching. Some patients may experience itching, which can subside on its own, but it tends to recur. Additionally, some patients may have itching due to allergies, which can result in rashes accompanied by itching. It is possible to check immunoglobulin E to see if there are any allergic factors present. If allergies are involved, treatment can include antihistamines or corticosteroids, or topical calamine lotion can be used to relieve symptoms. Besides affecting the skin, early-stage lupus erythematosus can also cause symptoms such as oral ulcers and arthritis in many patients.

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Written by Zhang Lin
Rheumatology and Immunology Nephrology
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Will the rash of lupus fade away?

Patients with lupus often experience recurrent, stubborn skin lesions on their hands or face, and some may even develop ulceration, atrophy, or scarring on top of the existing erythema. Most lupus patients exhibit erythema, centered around the bridge of the nose and appearing on the cheeks. The lesions are disc-like on both sides with generally clear boundaries, either flat or slightly raised, and are categorized as exudative inflammation. Depending on the severity of the inflammation, the erythema can range from light red, bright red to purple-red. In severe cases, localized edema resembling erysipelas may occur, and scaling and hyperpigmentation may appear as the inflammation subsides. Facial rashes generally resolve, and most rashes do not leave marks after resolution. If hyperpigmentation remains after the erythema has resolved, it suggests a good prognosis. However, erythema in other areas, such as acral erythema and reticular cyanosis, may last for varying durations depending on the patient's individual condition.