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Advanced Alternative Medicine Center

Advanced Alternative Medicine Center

Systemic Lupus Erythematosus SLE

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Systemic Lupus Erythematosus

Systemic lupus erythematosus (SLE) is a disease that leads to long-term (chronic) inflammation.

Causes

Systemic lupus erythematosus (SLE) is an autoimmune disease in which the body's immune system mistakenly attacks healthy tissue. It can affect the skin, joints, kidneys, brain, and other organs.

The underlying cause of autoimmune diseases is not fully known from a medical perspective.  In the Alternative healthcare field it is understood to be caused by an allergy to your own blood.  Your Immune System ends up attacking the blood and anywhere the blood goes.

SLE is much more common in women than men. It may occur at any age, but appears most often in people between the ages of 10 and 50. African Americans and Asians are affected more often than people from other races.

SLE may also be caused by certain drugs.

Symptoms

Symptoms vary from person to person, and may come and go. Almost everyone with SLE has joint pain and swelling. Some develop arthritis. The joints of the fingers, hands, wrists, and knees are often affected.

Other common symptoms include:

Chest pain when taking a deep breath

Fatigue

Fever with no other cause

General discomfort, uneasiness, or ill feeling (malaise)

Hair loss

Mouth sores

Sensitivity to sunlight

Skin rash -- a "butterfly" rash in about half people with SLE. The rash is most often seen over the cheeks and bridge of the nose, but can be widespread. It gets worse in sunlight.

Swollen lymph nodes

Other symptoms depend on which part of the body is affected:

Brain and nervous system: headaches, numbness, tingling, seizures, vision problems, personality changes

Digestive tract: abdominal pain, nausea, and vomiting

Heart: abnormal heart rhythms (arrhythmias)

Lung: coughing up blood and difficulty breathing

Skin: patchy skin color, fingers that change color when cold (Raynaud's phenomenon)

Some people have only skin symptoms. This is called discoid lupus.

Exams and Tests

To be diagnosed with lupus, you must have 4 out of 11 common signs of the disease.

Your doctor will do a physical exam and listen to your chest. An abnormal sound called a heart friction rub or pleural friction rub may be heard. A nervous system exam will also be done.

Tests used to diagnose SLE may include:

Antibody tests, including antinuclear antibody (ANA) panel

CBC

Chest x-ray

Kidney biopsy

Urinalysis

You may also have other tests to learn more about your condition. Some of these are:

Antithyroglobulin antibody

Antithyroid microsomal antibody

Complement components (C3 and C4)

Coombs' test - direct

Cryoglobulins

ESR

Kidney function blood tests

Liver function blood tests

Rheumatoid factor

Treatments

The Alternative Perspective

Consulting with a Holistic Chiropractor who is trained to treat SLE and other Auto-Immune Diseases is important.  Having an evaluation to determine if you are allergic to your own blood would be prudent.  And if you are, developing a well-rounded, multi-faceted approach to restoring health to your body's Immune Recognition System would be vital.  SLE does not have to be a life-time problem and having the evaluation is a no lose proposition.

The Medical Perspective

There is no cure for SLE from a Medical perspective. The goal of treatment is to control symptoms with life-time treatment using medication.  Often times the medications come with side-effects that may be worse than the symptoms of the disease. Severe symptoms that involve the heart, lungs, kidneys, and other organs often need treatment from specialists.

Mild forms of the disease may be treated with:

NSAIDs, such as ibuprofen, for joint symptoms and pleurisy

Corticosteroid creams for skin rashes

An antimalaria drug (hydroxychloroquine) and low-dose corticosteroids for skin and arthritis symptoms

Treatments for more severe lupus may include:

High-dose corticosteroids or medications to decrease the immune system response

Cytotoxic drugs (drugs that block cell growth). These medicines are used if you do not get better with corticosteroids, or if your symptoms get worse when the stop taking them. Side effects from these drugs can be severe, so you need to be monitored closely if you take them.

If you have lupus, it is also important to:

Wear protective clothing, sunglasses, and sunscreen when in the sun

Get preventive heart care

Stay up-to-date with immunizations

Have tests to screen for thinning of the bones (osteoporosis)

Taking suppressive medications that create side-effects and other health concerns is important to consider when choosing to go forward with care.

Support Groups

Counseling and support groups may help with the emotional issues involved with the disease.

Medical Outlook (Prognosis)

The outcome for people with SLE has improved in recent years. Many people with SLE have mild symptoms. How well you do depends on how severe the disease is.

The disease tends to be more active:

The first years after diagnosis

People under age 40

Many women with SLE can get pregnant and deliver a healthy baby. A good outcome is more likely for women who receive proper treatment and do not have serious heart or kidney problems. However, the presence of SLE antibodies raises the risk of miscarriage.

Medicines Two Choices for You

Your Solution

Alternative Treatment Outlook (Prognosis)

When treated using Total Body Modification (TBM) full resolution of the condition can be achieved.  Considering this form of care is warranted if you choose to avoid the medications and their complications.

Possible Complications

Some people with SLE have abnormal deposits in the kidney cells. This leads to a condition called lupus nephritis. Patients with this problem may go on to develop kidney failure and need dialysis or a kidney transplant.

SLE can cause damage in many different parts of the body, including:

Blood clots in the legs or lungs

Destruction of red blood cells (hemolytic anemia) or anemia of chronic disease

Fluid around the heart endocarditis, or inflammation of the heart (myocarditis)

Fluid around the lungs and damage to lung tissue

Pregnancy complications, including miscarriage

Stroke

Severely low blood platelet count

Inflammation of the blood vessels

When to Contact a Medical Professional

Call your health care provider if you have symptoms of SLE. Call your health care provider if you have this disease and your symptoms get worse or a new one occurs.

Alternative Names

Disseminated lupus erythematosus; SLE; Lupus; Lupus erythematosus; Discoid lupus

References

Ruiz-Irastorza G, Ramos-Casals M, Brito-Zeron P, Khamashta MA. Clinical efficacy and side effects of antimalarials in systemic lupus erythematosus: a systematic review. Ann Rheum Dis. 2010;69:20-28.

Crow MK. Etiology and pathogenesis of systemic lupus erythematosus. In: Firestein GS, Budd RC, Gabriel SE, et al, eds. Kelley's Textbook of Rheumatology. 9th ed. Philadelphia, Pa: Saunders Elsevier;2012:chap XX.

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