What to do if systemic lupus erythematosus causes a fever?

Written by Yang Ya Meng

Rheumatology

Updated on March 09, 2025

00:00

00:00

Patients with systemic lupus erythematosus (SLE) who develop a fever first need to discern whether the fever is due to immune-related fever caused by the activity of the disease or an infectious fever due to weakened immunity from long-term use of steroids and immunosuppressants. If the fever is caused by lupus activity, then it is necessary to increase the dosage of corticosteroids in treatment. If the fever is due to an infection, a full course of anti-infection treatment is needed. The anti-infection regimen may even need to include treatments with antibacterial, antifungal, and antiviral medications. (Please follow professional medical advice for medication use, and do not self-medicate.)

Other Voices

home-news-image

Written by Li Jing

Rheumatology

1min 34sec

home-news-image

Can people with systemic lupus erythematosus have children?

Firstly, systemic lupus erythematosus is an autoimmune disease of unknown etiology, and it can affect multiple organs including the heart, lungs, kidneys, and gastrointestinal tract. Once diagnosed with systemic lupus erythematosus, it is essential to complete routine urine tests, 24-hour urine protein quantification, chest CT, and other related examinations to fully assess the condition and distinguish between mild, moderate, and severe cases. Treatment plans should be formulated based on the assessment of the condition. If it is purely systemic lupus erythematosus without damage to other organs and the condition is stable with reduced maintenance doses of steroids, then pregnancy can be considered. However, during pregnancy, it is crucial to regularly monitor pulmonary arterial hypertension, pulmonary artery pressure, 24-hour urine protein quantification, and kidney function. If complications such as lupus nephritis occur, treatment decisions should be based on the condition. For instance, if there is an increase in creatinine and significant proteinuria, pregnancy is not recommended as it can exacerbate the burden on the kidneys and lead to further deterioration of kidney function.

home-news-image

Written by Li Jing

Rheumatology

40sec

home-news-image

Systemic lupus erythematosus is a disease.

Firstly, systemic lupus erythematosus is a chronic disease. It is an autoimmune disease that can affect multiple systems and organs and cannot be cured. It can only be controlled over the long term with medication. The goals of comprehensive treatment are to control symptoms, prevent relapses, slow the progression of the disease, and provide symptomatic treatment. Because this disease cannot be cured, it is important to avoid sun exposure, overwork, and getting chilled in daily life to prevent triggering or worsening the condition. Particularly in women, it is crucial to avoid oral contraceptives.

home-news-image

Written by Li Jing

Rheumatology

1min 5sec

home-news-image

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.)

home-news-image

Written by Li Jing

Rheumatology

1min 16sec

home-news-image

What to do about hair loss from systemic lupus erythematosus?

Systemic lupus erythematosus is a multi-system, multi-damage autoimmune disease, primarily manifesting in the skin and mucous membranes. Some individuals may also experience low-grade fever and hair loss, even severe hair loss. If treatment has already commenced and hair loss continues during the treatment process, it is necessary to consider whether the medication dosage is insufficient and to consider adjusting the medication dosage. If medication has been discontinued and severe hair loss reoccurs, the first consideration should be whether there is a recurrence of active disease, necessitating a visit to the hospital for tests including a complete blood count, erythrocyte sedimentation rate, C-reactive protein, complement levels, and autoimmune antibodies to comprehensively assess whether the disease has relapsed. If the disease has relapsed, it is necessary to reintroduce steroids, adjust medication dosages, and combine the use of hydroxychloroquine to control the disease. (Specific medications should be used under the guidance of a physician.)

home-news-image

Written by Yang Ya Meng

Rheumatology

52sec

home-news-image

What to do if systemic lupus erythematosus causes a fever?

Patients with systemic lupus erythematosus (SLE) who develop a fever first need to discern whether the fever is due to immune-related fever caused by the activity of the disease or an infectious fever due to weakened immunity from long-term use of steroids and immunosuppressants. If the fever is caused by lupus activity, then it is necessary to increase the dosage of corticosteroids in treatment. If the fever is due to an infection, a full course of anti-infection treatment is needed. The anti-infection regimen may even need to include treatments with antibacterial, antifungal, and antiviral medications. (Please follow professional medical advice for medication use, and do not self-medicate.)