by Dr. Naseem Arshad
September 16, 2024
We are discussing Systemic Lupus Erythematosus (SLE), and in the last post, we learned that if the common symptoms of SLE are not being seen, we may still suspect an autoimmune disease or SLE. Apart from this, some features are very typical of SLE, such as complete hair loss on the head, marks on the feet, or the butterfly rash on the face.
There are many tests available to diagnose SLE, which your rheumatologist may prescribe, such as ANA, dsDNA, ESR, CRP, C3, C4 levels, etc. These tests detect autoantibodies in the body. A rheumatologist prescribes and interprets these tests properly to diagnose the disease accurately.
In addition to these tests, routine tests like CBC help in determining the severity of the disease, as the CBC tells us whether our blood cells are being affected. A urine test or tissue biopsy helps us determine whether there are any side effects or complications.
It is very important to start treatment for SLE as soon as possible. The sooner we start treatment, the easier it is to control the disease. If we begin treatment within one or two months, the disease has a higher chance of going into complete remission. On the other hand, if treatment is delayed, our organs may be affected.
For example, if the kidney is involved and we start treatment immediately, the kidney's function can be fully restored. But if the treatment is delayed, the damage may be severe enough that the patient needs dialysis.
Therefore, keeping a high index of suspicion for SLE means considering it early. It is very important to get the right tests at the right time and begin treatment promptly, as this can greatly benefit the patient.
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