Systemic Lupus Erythematosus
ABSTRACT: Systemic lupus erythematosus (SLE) is a systemic autoimmune disease most commonly involving skin, joints, and kidneys. Usually, it presents in women in puberty or early adulthood. This monograph provides an overview of the role of an obstetrician–gynecologist (ob-gyn) in the treatment of SLE patients. An ob-gyn is uniquely placed in the health care continuum throughout the life cycle of a woman. Notably, an ob-gyn often is the first physician to notice SLE-related rash, swollen joints, cytopenias, or proteinuria in a patient and is the first to provide initial management. Obstetrician–gynecologists must be familiar with SLE effects on reproductive issues, such as SLE effects on the choice of birth control, pregnancy outcomes, and the risks of hormone therapy use, as well as the pregnancy effects on the risk of lupus nephritis flares. Human papillomavirus and associated cancer also are of concern in patients with SLE. Providing care to women with SLE is multifaceted; therefore, ob-gyns often will need to liaise with rheumatologists and other specialists.
Popular Titles
The Role of Physical Therapy in Obstetric–Gynecologic Practice
This monograph addresses the diagnosis and management of many neuromusculoskeletal conditions that both obstetrician–gynecologists and physical therapists encounter in their practices.
GoCommon Dermatologic Conditions
This monograph reviews common cutaneous conditions, both benign and malignant, hair and nail disorders, and skin conditions unique to the adult woman.
GoSurgical Considerations
The purpose of this monograph is to help guide obstetrician–gynecologists through the appropriate preoperative assessment of women who require surgery and identify intraoperative and postoperative management strategies that will help decrease avoidable morbidity and mortality of these patients.
GoMigraine and Other Headache Disorders
A large portion of this monograph is devoted to evaluation, management, and drug safety in pregnant or breastfeeding women with migraine and other headache disorders.
GoIncidental Radiologic Findings
The aim of this monograph is to aid obstetrician–gynecologists in the detection, characterization, and management of incidentally detected lesions that may be encountered on routine women’s imaging examinations.
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