کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
3827166 | 1246920 | 2013 | 4 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Seguimiento de los pacientes con lupus eritematoso sistémico: lo que no está en las guÃas
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کلمات کلیدی
Autoimmune diseases - بیماری خودایمنیEnfermedades autoinmunes - بیماری های خود ایمنیClinical guidelines - دستورالعمل های بالینیGuías de práctica clínica - دستورالعمل های عمل بالینیInternal medicine - طب داخلیSystemic lupus erythematosus - لوپوس اریتماتوی سیستمیکLupus eritematoso sistémico - لوپوس سیستمی لوبیای ئهMedicina Interna - پزشکی داخلی
موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
پزشکی و دندانپزشکی (عمومی)
پیش نمایش صفحه اول مقاله
![عکس صفحه اول مقاله: Seguimiento de los pacientes con lupus eritematoso sistémico: lo que no está en las guÃas Seguimiento de los pacientes con lupus eritematoso sistémico: lo que no está en las guÃas](/preview/png/3827166.png)
چکیده انگلیسی
A series of measures in the management of patients with systemic lupus erythematosus (SLE) which usually are not found in the lupus guidelines are discussed. In the lupus patient who has been well-controlled in the long term, the dose of hydroxychloroquine should be progressively reduced, without decreasing more than approximately 600 mg per week. We recommend taking this drug in the morning in patients with insomnia, at night in those with dyspepsia and to separate the intake of the drug from the shower (and the water should be as cool as possible) in those patients with aquagenic pruritus. We do not use prednisone on alternate days and exceptionally divide the dose into ¾ before breakfast and ¼ before dinner. Twenty to 30 min should be used per patient in every scheduled visit to assure a good clinical and human practice. We analyzed the follow-up of 112 consecutive patients from our systemic disease unit and found that 71.4% of them had symptoms that were unexplained by lupus and we only referred 8.9% of them to other specialists, probably because of our general training as internal medicine doctors. We suggest that knowing the views of SLE specialists might be of interest since, well-designed studies that would allow to progress in the understanding of this disease could be performed based on their experience.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Revista ClÃnica Española - Volume 213, Issue 9, December 2013, Pages 453-456
Journal: Revista ClÃnica Española - Volume 213, Issue 9, December 2013, Pages 453-456
نویسندگان
J. Jiménez-Alonso, J.A. Vargas-Hitos, N. Navarrete-Navarrete, M. Zamora-Pasadas, S. Aguilar-Huergo, L. Jáimez, J.M. Sabio,