Systemic Lupus Erythematosus Nursing Measures

Written by Li Jing
Rheumatology
Updated on June 20, 2025
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Systemic lupus erythematosus is an autoimmune disease that cannot be cured. It can only be managed with medications to control the progression of the disease, prevent relapses, and delay the onset of complications, which is the main purpose of treatment. The primary treatment options are corticosteroids and immunomodulators. Their main side effects include increased risk of infection and lowered immunity. Therefore, during routine care, it is essential to pay attention to personal hygiene, especially respiratory and urinary tract cleanliness, frequently change clothes, bathe regularly, prevent skin infections, and wear masks in crowded or public places. Additionally, it is important to avoid excessive sun exposure and engage in appropriate exercise to enhance immunity. (Note: Medications should be used under the guidance of a doctor.)

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Written by Li Jing
Rheumatology
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Symptoms of systemic lupus erythematosus recurrence

Systemic lupus erythematosus is an autoimmune disease primarily characterized by multi-system damage and damage to multiple organs, and it is a chronic disease, meaning it cannot be cured but only controlled through medication to manage the symptoms, prevent relapses, and delay complications. Exposure to cold, fatigue, or prolonged ultraviolet radiation can trigger a relapse of the disease. The clinical manifestations of a relapse may include an increase in skin rashes compared to before, or the emergence of low-grade fever and fatigue, or joint pain, which should be taken as warning signs. Moreover, some individuals may experience severe swelling of both lower limbs, a clinical indication. Key diagnostic indicators in clinical examinations include the titers of autoimmune antibodies, erythrocyte sedimentation rate, C-reactive protein, and the levels of complement C3 and C4, which are used to comprehensively determine whether the disease has relapsed.

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Written by Yang Ya Meng
Rheumatology
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Systemic Lupus Erythematosus Clinical Manifestations

The clinical manifestations of systemic lupus erythematosus are diverse and variable. The primary symptoms involve the bones, joints, and muscles, with joint pain being a common presentation. The second major area affected is the skin and mucous membranes, where the most common symptoms are symmetrical butterfly-shaped erythema and discoid erythema on the face. Some patients experience kidney involvement, primarily presenting as significant proteinuria, hematuria, and cylindrical urine. Pulmonary involvement is also common in some patients, often manifesting as pleurisy. The digestive system can also be affected, typically presenting as abdominal pain. The hematological system is a very common site of involvement in lupus, mainly indicated by routine blood tests showing decreases in white blood cells and platelets.

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Written by Yang Ya Meng
Rheumatology
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Can people with systemic lupus erythematosus have children?

Patients with systemic lupus erythematosus can have children, but only if they are taking less than one and a half steroids and less than two hydroxychloroquine tablets. Additionally, they must be closely monitored throughout the early, middle, and late stages of pregnancy, and regularly consult with both obstetricians and rheumatologists to discuss any necessary adjustments in treatment. This is because pregnancy is a high-risk factor for triggering lupus activity, with the disease often relapsing during the first six weeks of pregnancy and the six weeks following childbirth. (Medications should be used under the guidance of a physician.)

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Written by Li Jing
Rheumatology
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Can systemic lupus erythematosus be cured completely?

Firstly, systemic lupus erythematosus is a chronic autoimmune disease that causes damage to multiple systems. Its occurrence is associated with factors such as genetics, environmental pollution, infections, and hormone levels. As an autoimmune disease, it cannot be completely cured. Treatment involves using medications to control symptoms, delay the onset of complications, reduce disability rates, and improve quality of life. This represents the comprehensive goals of its treatment. The first choice of treatment is corticosteroids. Once diagnosed with systemic lupus erythematosus, it is essential to conduct thorough examinations to assess the activity of the disease and the organs involved. Based on the activity of the disease and the organs affected, the dosage of treatment may vary.

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Written by Li Jing
Rheumatology
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Systemic lupus erythematosus is not contagious.

Firstly, systemic lupus erythematosus is an autoimmune disease with an unclear cause. It can affect multiple organs including the heart, lungs, and kidneys. It is classified as an autoimmune disease and not a contagious one, so there is no need to worry about it spreading. However, this condition does have a certain genetic predisposition. For instance, if parents have systemic lupus erythematosus, then their offspring have a relatively higher chance of developing the condition compared to families without a history of the disease. Being an autoimmune disease, it cannot be cured but can only be managed with medications such as corticosteroids to control the progression of the disease. Therefore, during the course of steroid treatment, it is vital to prevent infections. Finally, it is important to emphasize once again that systemic lupus erythematosus is not contagious and does not pose a risk of transmission, so everyone can be reassured.