Systemic lupus erythematosus secondary prevention: Difference between revisions

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{{Systemic lupus erythematosus}}
{{Systemic lupus erythematosus}}


{{CMG}}; {{AE}} {{RT}}
{{CMG}}; {{AE}} {{MIR}}, {{RT}}


==Overview==
==Overview==
Secondary prevention strategies following systemic lupus erythematosus include using [[aspirin]], [[ACE inhibitor|ACE inhibitors]], and [[statins]] to reduce [[Atherosclerotic disease|atherosclerotic diseases]], and using [[Cancer screening|cancer screenings]].
==Secondary Prevention==
==Secondary Prevention==
Early recognition of warning signs can help preventing the disease organ damages.
Aims of secondary prevention measures for SLE include:<ref name="pmid22593636">{{cite journal |vauthors=Maidhof W, Hilas O |title=Lupus: an overview of the disease and management options |journal=P T |volume=37 |issue=4 |pages=240–9 |date=April 2012 |pmid=22593636 |pmc=3351863 |doi= |url=}}</ref><ref name="pmid10782816">{{cite journal |vauthors=Zangger P, Gladman DD, Urowitz MB, Bogoch ER |title=Outcome of total hip replacement for avascular necrosis in systemic lupus erythematosus |journal=J. Rheumatol. |volume=27 |issue=4 |pages=919–23 |year=2000 |pmid=10782816 |doi= |url=}}</ref>
 
* Preventing [[glucocorticoid]] usage and using the minimum dosage to prevent [[osteonecrosis]] and [[Osteoporosis|osteoprosis]] side effects
===Prevention of complications during pregnancy===
* Decreasing [[Atherosclerosis|atherosclerotic]] events in patients
 
** Low doses of [[aspirin]]
While most infants born to mothers who have SLE are healthy, pregnant mothers with SLE should remain under a doctor's care until delivery. Neonatal lupus is rare, but identification of mothers at highest risk for complications allows for prompt treatment before or after birth. In addition, SLE can flare during pregnancy, and proper treatment can maintain the health of the mother longer. Women pregnant and known to have the antibodies for anti-Ro (SSA) or anti-La (SSB) should have echocardiograms during the 16th and 30th weeks of pregnancy to monitor the health of the heart and surrounding vasculature.
** [[ACE inhibitor|ACE inhibitors]]
 
** [[Statins]]
* Decrease atherosclerotic events in patients
* For prevention and/or early diagnosis of [[malignancies]]:
** Low doses of aspirin
** Regular age-related specific [[cancer screening]] recommended for the general population
** ACE inhibitors
** Statins
* For prevention and/or early diagnosis of malignancies:
** Regular age-related specific cancer screening recommended for the general population.


==References==
==References==

Latest revision as of 13:41, 6 June 2018

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mahshid Mir, M.D. [2], Raviteja Guddeti, M.B.B.S. [3]

Overview

Secondary prevention strategies following systemic lupus erythematosus include using aspirin, ACE inhibitors, and statins to reduce atherosclerotic diseases, and using cancer screenings.

Secondary Prevention

Aims of secondary prevention measures for SLE include:[1][2]

References

  1. Maidhof W, Hilas O (April 2012). "Lupus: an overview of the disease and management options". P T. 37 (4): 240–9. PMC 3351863. PMID 22593636.
  2. Zangger P, Gladman DD, Urowitz MB, Bogoch ER (2000). "Outcome of total hip replacement for avascular necrosis in systemic lupus erythematosus". J. Rheumatol. 27 (4): 919–23. PMID 10782816.

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