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Dr. Roach: Diagnostic Criteria for Lupus | For Your Health

Dr. Roach: Diagnostic Criteria for Lupus | For Your Health

 


• Neurological disorder (seizure or psychosis).

• Low levels of red blood cells, white blood cells, and platelets.

• Inflammation of the mucous membranes of the heart or lungs.

• Abnormal blood test: ANA and other autoantibodies (against the person’s cells).

According to experts, chloroquine or hydroxychloroquine is most often given if the diagnosis of lupus is certain or almost so. These drugs may improve symptoms and relieve disease activity in up to 80% of lupus patients. However, all drugs have the potential for side effects. Although low doses usually given to lupus can cause visual impairment, annual screening is less likely to cause permanent visual impairment because the progression of eye disease usually ceases when the medication is stopped. ..

Other possible side effects of hydroxychloroquine include gastrointestinal disorders such as nausea, vomiting and diarrhea. Skin rash; headache; rare damage to the heart and muscles.That said, the vast majority of patients I see are being treated for lupus. (Those who are treated by a rheumatologist who is familiar with lupus) It tolerates hydroxychloroquine well. I have no patients who need to be discontinued due to visual impairment.

Despite its risks, hydroxychloroquine has numerous benefits in the treatment of people with lupus, and the benefits usually outweigh the risks. Make sure that lupus is correctly diagnosed and that the disease is active and needs treatment. Too many people say that ANA testing alone has lupus due to an increase in systemic lupus erythematosus, which by itself is not a diagnosis of lupus.

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