Systemic lupus erythematosus: challenges of early detection
https://doi.org/10.51523/2708-6011.2021-18-4-21
Abstract
The article presents a clinical case of such difficult for detection disease assystemic lupus erythematosus (SLE), which is characterized by atypical debut options, rapid development of complications, inadequate response to therapy. It is emphasized that the first clinical manifestations of the disease are the most important for its timely diagnosis, beginning of treatment and prevention of complications. The study concludes that mistakes in the diagnosis, late beginning of treatment may be related to the absence of SLE awareness among physicians.
About the Authors
A. V. PronevichBelarus
Anna V. Pronevich, Assistant Lecturer at the Department of Polyclinic Therapy and General Medical Practice with the course ofthe Faculty of Professional Development and Retraining
Gomel
N. G. Kadochkina
Belarus
Natalia G. Kadochkina, PhD (Med),therapist at the Department of Allergology and Immunopathology
Gomel
References
1. Arnaud L, van Vollenhoven R. Introduction. In: Advanced Handbook of Systemic Lupus Erythematosus. Cham:Adis; 2018. p. 1-16. DOI: https://doi.org/10.1007/978-3-319-43035-5_1
2. Arnaud L, Fagot JP, Mathian A, Paita M, Fagot-Campagna A, Amoura Z. Prevalence and incidence of systemic lupus erythematosus in France: a 2010 nation-wide population-based study. Autoimmun Rev. 2014;13(11):1082-1089. DOI: https://doi.org/10.1016/j.autrev.2014.08.034
3. Tucker LB. Systemic Lupus Erythematosus in Adolescence and Young Adulthood. In: McDonagh J, Tattersall R, eds. Adolescent and Young Adult Rheumatology in Clinical Practice. Cham: Springer; 2019. p. 107-117. DOI: https://doi.org/10.1007/978-3-319-95519-3_8
4. Petri M, Orbai AM, Alarcon GS, Gordon C, et al. Derivation and validation of systemic lupus international collaborating clinics classification criteria for systemic lupus erythematosus. Arthritis Rheum. 2012;64(8):2677-2686. DOI: https://doi.org/10.1002/art.34473
5. Gurevitz SL, Snyder JA, Wessel EK, Frey J, Williamson BA. Systemic lupus erythematosus: a review of the disease and treatment options. ConsultPharm. 2013;28(2):110-121. DOI: https://doi.org/10.4140/TCP.n.2013.110
6. Podchernyaeva NS. Sistemnaya krasnaya volchanka. V: Samsygina GA, Schcerbakova MYU. Kardiologiya i revmatologiya detskogo vozrasta. 2-e izd. Moskva: ID MEDPRAKTIKA-M; 2009. p. 751-780. (In Russ.).
7. Podchernyaeva NS. Volchanochnyj nefrit u detej. Voprosy sovremennoj pediatrii. 2006;5(2) Appendex: 66-75. (In Russ.).
8. Shcherbakova MJ, Gurevich U, Yaroshevskaya OY, Dolgina EA, Pronina LA. Trudnosti diagnostiki volchanochnogo nefrita pri debyutesistemnoj krasnoj volchanki u detej. Trudny jpacient. 2010;8(1):41-43. (In Russ.).
9. Zaharova EV. Volchanochnyj glomerulonefrit: klinika, morfologiya, prognoz. Nefrologiya i dializ. 2003;5(2):116-121. (In Russ.).
10. Mazurov VI. Revmatologiya. Farmakoterapiya bez oshibok. Moskov: E-noto; 2017. p. 528. (In Russ.).
11. Biggioggero M, Meroni PL. The geoepidemiology of the antiphospholipid antibody syndrome. Autoimmun Rev. 2010 Mar;9(5):299-304. DOI: https://doi.org/10.1016/j.autrev.2009.11.013
12. Taraborelli M, Lazzaroni MG, Martinazzi N, Fredi M, Cavazzana I, Franceschini F, Tincani A. The role of clinically significant antiphospholipid antibodies in systemic lupus erythematosus. Reumatismo. 2016 Dec;68(3):137-143. DOI: https://doi.org/10.4081/reumatismo.2016.891
13. Rahman A, Isenberg DA. Systemic lupus erythematosus. N Engl J Med. 2008;358(9):929-939. DOI: https://doi.org/10.1056/nejmra071297
14. Durrani K. Systemic Lupus Erythematosus. In: Papaliodis G, eds. Uveitis. Cham: Springer; 2017. p. 263-269. DOI: https://doi.org/10.1007/978-3-319-09126-6_38
15. Pelechas E, Kaltsonoudis E, Voulgari PV, Drosos AA. Systemic Lupus Erythematosus. In: Illustrated Handbook of Rheumatic and Musculo-Skeletal Diseases. Cham: Springer;2019. p. 141-166. DOI: https://doi.org/10.1007/978-3-030-03664-5_7
Review
For citations:
Pronevich A.V., Kadochkina N.G. Systemic lupus erythematosus: challenges of early detection. Health and Ecology Issues. 2021;18(4):162-166. (In Russ.) https://doi.org/10.51523/2708-6011.2021-18-4-21