SLE - Systemic Lupus Erythematosus

Symptoms

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

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

Medicines Two Choices for You

Traditional Medical Treatment Options

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.

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 Drythematosus; SLE; Lupus; Lupus Erythematosus; Discoid lupus

Medicines Two Choices for You

Dr. Huntoon's Alternative Medicine Perspective

THE ALTERNATIVE PERSPECTIVE

Alternative Treatment Outlook (Prognosis)

Dr Huntoon has lots of experience SOLVING this condition once and for all.  Without all the medical treatments and hoopla. 

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.

Consulting with a Holistic Chiropractor who is trained to treat SLE and other Auto-Immune Diseases is important. 

Having a Consultation and 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.

Some Solutions

Your Solution

Alternative Treatment Outlook (Prognosis)

Dr Huntoon has lots of experience SOLVING this condition once and for all.  Without all the medical treatments and hoopla.  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.

Having a Consultation and 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.