Valdecantos Oral Revalida SLE

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Systemic Lupus Erythematous

Precipitating Factors:
Predisposing Factors: • Exposure to UV Radiation
• Mutations in HLA-DR2/HLA-DR3 Genes, • Viruses
complement and cytokine genes • Drugs (hydralazine, hydrochloride)
• Low birth weight and preterm birth • Hormonal abnormality (estrogen,
prolactin)

Systemic Lupus Erythematous

Interaction between predisposing and precipitating


Headache, nausea, diarrhea,
factors
hair loss, mouth sores, rash,
sinus infections

Disease-modifying
Rituximab (Monoclonal Multiple immune system defects (dysfunction of dendritic cells, B-cells, T-
antirheumatic drugs
Antibody) cells)
(DMARDs)

Note: Body loses ability to Headache, nausea, diarrhea, hair


Auto-antibodies Auto-reactive cells loss, mouth sores, rash, sinus
discriminate between antigens
and its own cells and tissues infections

Abnormal production Abnormal release of


of immune complexes inflammatory cytokines

Other
Gastrointestinal Musculoskeletal Manifestations Muco-cutaneous Manifestations symptoms
Manifestations

Signs of Arthritis Alopecia Fever


Splenomegaly or
hepatomegaly
Joint Discomfort Lesions and necrosis on Hematuria and
fingers, toes, elbows proteinuria
Dysphagia

Joint Pain Petechiae and


1. Acute Pain related to (Arthralgia) Mouth/Nasal Ulcers bruising
inflammation associated
with increased disease
activity Hydroxychloroquine sulfate Discoid Rash Seizures

NSAIDs
Decreased appetite, Topical Steroids
nausea, vomiting, Anticonvulsants
diarrhea, hypoglycemia,
Gastric irritation, headache, Thinning of the skin,
blurred vision, irritability
drowsiness, dizziness, and permanent striae,
bruising, skin Fatigue, nausea, dizziness,
allergic reactions blurred visions, tremors,
discoloration, allergic
reactions rash, weight gain

2. Impaired Skin integrity 3. Hyperthermia

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