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01 Mind antibodies and CNS involvement in SLE: differential diagnoses SLE患者的心智抗体和中枢神经系统受累:鉴别诊断
Pub Date : 2019-09-01 DOI: 10.1136/lupus-2019-la.18
H. Prüss
1. Fanouriakis A, Kostopoulou M, Alunno A, et al. 2019 update of the EULAR recommendations for the management of systemic lupus erythematosus. Ann Rheum Dis 2019;78(6):736–45. 2. van Vollenhoven RF, Mosca M, Bertsias G, et al. Treat-to-target in systemic lupus erythematosus: recommendations from an international task force. Ann Rheum Dis 2014;73(6):958–67. 3. Md Yusof MY, Psarras A, El-Sherbiny YM, et al. Prediction of autoimmune connective tissue disease in an at-risk cohort: prognostic value of a novel two-score system for interferon status. Ann Rheum Dis 2018;77(10):1432–39. 4. El-Sherbiny YM, Md Yusof MY, Psarras A, et al. B cell tetherin: a flow-cytometric cell-specific assay for response to Type-I interferon predicts clinical features and flares in SLE. bioRxiv 2019:554352.
1. Fanouriakis A, Kostopoulou M, Alunno A等。2019更新EULAR关于系统性红斑狼疮管理的建议。中国生物医学工程学报,2019;38(6):736 - 745。2. 范浩文,莫斯卡,波提斯,等。系统性红斑狼疮的靶向治疗:来自国际工作组的建议。中国生物医学工程学报,2014;33(6):958 - 967。3.Md Yusof MY, Psarras A, El-Sherbiny YM,等。自身免疫性结缔组织疾病在高危人群中的预测:一种新的干扰素状态双评分系统的预后价值中华医学杂志,2018,37(10):1432 - 1439。4. El-Sherbiny YM, Md Yusof MY, Psarras A,等。B细胞栓素:对i型干扰素反应的流式细胞术细胞特异性测定预测SLE的临床特征和耀斑。bioRxiv 2019:554352。
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引用次数: 0
01 APS in SLE patients: best treatment practice APS在SLE患者中的应用:最佳治疗实践
Pub Date : 2019-09-01 DOI: 10.1136/lupus-2019-la.7
M. Khamashta
use of antibiotics is not recommended, nevertheless a low index of suspicion to diagnose an infection – including possible Pneumocystis pneumonia – and commence antibiotics promptly is warranted in high-risk groups including elderly or neutropenic patients, those with comorbidities (e.g. diabetes) or who are receiving glucocorticoids. Osteoporosis and fragility fractures are potentially avoidable and readily treated comorbidities in patients with SLE. 14 Factors impacting adversely on bone mass density, particularly chronic use of glucocorticoids, should be corrected. Osteoprotective and/or anti-osteoporotic interventions should be similar to those in the general population or patients with other chronic inflammatory disorders, yet caution is recommended in cases of kidney disease and reduced glomerular filtration rate. To this end, SLE patients should also be screened for vitamin D insufficiency, which should be corrected considering its presumed multifaceted effects on the disease.
不建议使用抗生素,但对于高风险人群,包括老年人或中性粒细胞减少患者、合并症患者(如糖尿病)或正在接受糖皮质激素治疗的患者,应采用低怀疑指数诊断感染(包括可能的肺囊虫肺炎)并及时开始使用抗生素。骨质疏松和脆性骨折是SLE患者潜在的可避免和易于治疗的合并症。对骨密度有不利影响的因素,特别是长期使用糖皮质激素,应予以纠正。骨保护和/或抗骨质疏松干预措施应与一般人群或其他慢性炎症性疾病患者相似,但建议在肾脏疾病和肾小球滤过率降低的病例中谨慎使用。为此,SLE患者还应筛查维生素D不足,考虑到其对疾病的多方面影响,应纠正维生素D不足。
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