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Systemic Lupus Erythematosus - Coggle Diagram
Systemic Lupus Erythematosus
Pathophysiology
Chronic inflammation
Tissue damage
Multi-system involvement
Excess cytokine production
Sustains inflammation
Immune system dysregulation
Autoantibodies
Target self-antigens
Loss of self-tolerence
Uncontrolled immune response
Immune complex depositions
Activates complement
Inflammation & Tissue Damage
Clinical menifestations
General symptoms
Fatigue, fever, weight loss
Organ-Specific
Renal
Lupus nephritis
Proteinuria, hematuria, renal failure
Cardiovascular
Pericarditis, myocarditis, atherosclerosis
Pulmunary
Pleuritis, interstitial lung disease, pulmonary hypertension
Cutaneous
Malar rash (butterfly rash), discoid lesions, photosensitivity
Musculoskeletal
Symmetric polyarthritis, joint pain
Neurological
Seizures, cognitive dysfunction, psychosis
Hematologic
Anemia, leukopenia, thrombocytopenia
Multisystem Effects
Cardiovascular
Accelerated atherosclerosis
Increased risk of cardiovascular disease
Neurological
Cognative impairemnet
Seizure
Kideneys
Glomerulonephritis
Chronic kidney disease (CKD)
End-stage renal disease (ESRD)
Hematologic
Antiphospholipid syndrome
Increased clotting risk (thrombosis)
Pulmonary
Fibrosis
Reduced lung function, pulmonary hypertension
Treatments
Pharmacological
Corticosteroids
:
Control acute inflammation
Hydroxychloroquine
Key drug for reducing disease flares
Immunosuppressants
Biologic Therapy
E.g. Belimumab (BLyS inhibitor)
Reduces autoantibody production
NSAIDs
Manage arthritis and musculoskeletal pain
Adjunct Therapy
Anticoagulants
Prevent thrombosis in antiphospholipid syndrome
Antidepressants/Anticonvulsants
Manage neuropsychiatric symptoms
ACE Inhibitors/ARBs
Preserve renal function in lupus nephritis
Supportive & life modification
Smoking cessation
Reduces cardiovascular risk
Sun Protection
Prevents UV-induced flares
Regular Exercise
Prevents muscle weakness, reduces fatigue
Diet & Hypertension Management
Protects kidney function