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LUPUS (lupus erythematous)

 

  • Lupus(lupus erythematous)

 

Lupus is a systemic autoimmune disorder that  occurs when your body’s immune system attacks yours own tissues and organs.

Inflammation caused by lupus can affect many different body systems- including your joints,skin,kidneys,blood cells,brain,heart and lungs.

 

 

  • Causes of lupus

 

  1. Autoimmune disease 
  2. Genetic and environmental factors
  3. Some potential triggers such as sunlight,infection,medications.

 

 

  • Risk factors

 

Age  -lupus can affect all age groups but is common in between the age of 15 and 45.

Sex  - lupus is more common in female.

Race-It is more common in african,american,hispanics and asian-americans.

 

 

  • Symptoms 

 

  1. Achy joints (arthalgia)
  2. Unexplained fever 
  3. Swollen joints ( arthritis)
  4. Skin rash
  5. Ankle swelling and fluid accumulation
  6. Pain in the chest when breathing deeply (pleurisy).
  7. A butterfly shaped rash across the face and nose.(also called malar rash)
  8. Hair loss.
  9. Sensitive to the sun and /or other lights.
  10. Seizures.
  11. Mouth or nose sores.
  12. Pale or purple fingers or toes from cold or stress (RAYNAUD’S PHENOMENON)

 

 

  • Diagnosis 

 

  1. Physical examination(A person should have at least 4of the following 11 criteria)
  • Malar rash
  • Discoid rash
  •  Photosensitivity 
  • Oral ulcer
  • Arthritis
  • Kidney disorder
  • Neurological disorder
  • Inflammation
  • Positive ANA test
  • Blood disorder(anemia,leukopenia,lymphopenia

,thrombocytopenia)

  • Immunological disorder
  1. Laboratory tests such as CBC,ESR,LFT,KFT,urine examination.
  2. Imaging test-chest x-ray ,Echocardiogram.
  3. Biopsy -skin biopsy.
  4. Antinuclear antibody test (ANA).

 

 

  • Treatment

 

  1. NSAIDs
  2. Antimalarial drugs
  3. Corticosteroids
  4. Immunosuppressants
  5. Biologics

 

 

  •  Complication

 

  •  Kidney failure
  • Storke 
  • Heart attack
  • Pregnancy complication
  • Hip destruction( also called avascular necrosis)
  • Cataracts
  • Bone fractures
  • Joints deformities
  • Skin deformities

 

 

  • Prevention

 

  1. Low impact Exercise,such as walking,swimming,and biking.
  2. Enough rest
  3. Avoid alcohol
  4. Avoid smoking
  5. Avoid unnecessary sun exposure
  6. Take care of fever and infection

Complication

 

  • Homoeopathy approach towards lupus

 

 

  1. Belladonna( for malar rash or butterfly rash) 
  2. Mercurius solubilis( oral and /or naso-pharyngeal ulceration)
  3. Borax (mucosal ulceration mainly in oral mucosa)
  4. Rhus tox ( joints and musculoskeletal complaints)
  5. Hyocyamus (NPSLE)
  6. Aconite(anxiety,fear,general restlessness)
  7. Cinchonna officinalis(hemolytic anaemia)
  8. Ferrum mettalicum

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