Systemic Lupus Consensus Essay

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Systemic lupus erythematosus (SLE) is a chronic, inflammatory, autoimmune disease that affects multiple organ systems (Weinstein, 2011). It is characterized by a stable disease process with episodes of active disease flare-ups. (Daleboudt, Berger, Broadbent & Kaptein, 2011). SLE primary affects women of childbearing age and it has been hypothesized that this is due to circulating estrogen levels (Bernknopf, Rowley, & Bailey, 2011). Diagnosis of SLE and organ involvement is made through laboratory testing. Patients with SLE have an increased risk for renal failure and heart failure and thus need to be monitored closely (Robinson, Sheets Cook, & Currie, 2011). A referral to a rheumatologist should be made upon suspicion of SLE (Weinstein, 2011). …show more content…

(“Systemic Lupus Erythematosus”, 2012). The primary factor in developing SLE is a genetic component although it is not fully understood (Robinson, Sheets Cook, & Currie, 2011). It has been shown that identical twins have a concordance rate of 24% whereas fraternal twins have a rate of 2% (“Systemic Lupus Erythematosus”, 2012). In addition, individuals have an 8-fold increased risk of developing SLE if they have a first-degree relative with the disease (Richman & Schub, …show more content…

Patients must exhibit 4 for the following: “malar rash, discoid rash on the cheeks, photosensitivity to sunlight, painless mucocutaneous ulcers, nonerosive arthritis of at least two joints, renal dysfunction evidenced as proteinuria or cellular casts, positive serum ANA, neurologic disorder such as seizures or psychosis, serositis as evidenced by pleuritis or pericarditis, hematologic disorders, and immunologic disorders” (Robinson, Sheets Cook, and Currie, p. 632). A patient that does not have four of the qualifying criteria for SLE will be labeled “incomplete” or “latent” SLE (Bernknopf, Rowley, & Bailey,

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