Systemic Lupus Erythematosus (SLE)

Question 1

Systemic Lupus Erythematosus Overview

Answer 1

• Chronic autoimmune disease characterized by inflammation of connective tissue
• Has relapses, flares, and remissions
• Females > males
• Any age, peak onset between 20-40 years old
• Cause is unknown

Question 2

Systemic Lupus Erythematosus Symptoms

Answer 2

• Most common symptoms = Fever, malaise, fatigue, weight loss, butterfly rash, skin rashes, joint pain and swelling, arthritis, hair loss, and sores

Other symptoms:
- Pulmonary issues (dyspnea, chest pain, cough)
- Anemia
- Kidney involvement
- Raynauds
- CNS involvement (seizures, HA, neuropathy, memory loss, cognitive or vision issues)
- Numbness, tingling
- Heart problems

Question 3

Systemic Lupus Erythematosus Medical Management

Answer 3

• Goal is to prevent organ damage and achieve remission
• Avoid direct sun exposure
• Dietary recommendations
• Stress reduction
• Good sleep
• Exercise
• Emotional support
• Patient education

Question 4

Systemic Lupus Erythematosus PT Management

Answer 4

• Exercise to decrease weakness and increase muscle endurance
• Education for pts with skin lesions
• Aerobic exercise to decrease fatigue levels (30-50mins, 3x/week)
• ROM and muscle strengthening can increase energy level, cardiovascular fitness, functional status, and strength
• Energy conservation
• Be aware of signs and symptoms that suggest progression including those associated with avascular necrosis, kidney involvement, and/or neuropathy involvement