SLE Systemic Lupus Erithematosus: what treatment can I recei Posted: 10-07-06 15:54pm
I have been dianosed with LUPUS
Neuropsychiatric. I have 2 brain leisions
on the left side of my brain. I was
dianosed with fybromyalgia 10 years ago.
In Sept 2004 I contract hepititis from the
herpes virus, it statred with a fever
blister on my lip and spread without my
mouth, nose and sinuses. I have been
taking numeriou drugs but have not been
able to find any research concusive to
Lupus Neuropsychiatric. I was put on
PLAQUENIL a year ago. I just want answers
on what is best treatment I can recieve.
I live in Bakersfield, CA. and there are
only 2 Rheumatologist in the area. I
can't seem to get my Neuroligists and
rheumatologist on the samr page. Weird
thing are happening in my bodybut my
inflamation count is low. Please help me
I need to know what can be done and where
to go for help. I'm scared of what will
happen next. I have tried to talk to my
rheumatolist but I don't think he fully
understands Lupus NP. Here is a list of my
meds. ESTRADIOL
ZYRTEC
LEXAPRO
NEXXUIM
GABAPENTIN
TRAMADOL
SULAR
LUNESTA
REQUIP
HYDROXYCHLOROQUINE
RESTASIS
BACLOFEN
SEROQUEL
PAIN INJECTIONS TO
A multiple vitamin, folic acid, zinc, B
complex daily, an injection of vitamin B
every 2 weeks. Caltrate
|
DoctorAnswer
Doctor Answer
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Lupus Answer A1621 Posted: 10-16-06 02:48am
The symptoms you describe (hepatitis,
blisters on the lips, mouth, nose,
osteo-arthritis, high blood pressure,
memory loss, depression) are probably the
result of systemic lupus erithematosus
(SLE). SLE is an autoimmune disease
wherein the immune system creates
antibodies against the body's owns
structures. Antibodies and antigens
together create immune complexes that can
be precipitated into various organs: the
skin, kidneys, nervous system, joints,
muscles, lungs, heart, gastrointestinal
tract, eyes, blood cells, etc. Immune
complexes cause chronic inflammation in
the organs where they are precipitated.
Chronic inflammation then causes
progressive damage of those organs.
The nervous system can be affected during
SLE and manifest as: seizures,
extra-pyramidal signs, lesions of the
cranial nerves, polyneuritis, and
psychiatric symptoms (depression,
psychosis etc.).
SLE is treated with corticosteroids,
immunomodulators, immunosupressors, and
other anti-inflammatory drugs. Therapeutic
response to drugs and doses are strictly
individual.
Prognosis of this disease depends upon the
level of damage to the vital organs and
systems (kidneys, heart and brain).
You need an expert opinion from a
neurologist and a rheumatologist.
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