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cardinal s
Re: Quiz
treatment steps
1- no involvement of major systems
nsaids
2-skin in volvement
NSAIDS PLUS HYDROXYCHLOROQUINE OR LONG ACTIONG INTRADERMAL STEROIDS
RETINOIDS VIT A
3-PLUS JOINT INVOLVEMENT
STEROID PREDNISOLONE 1-2MG/KG BODY WT UNTIL SYMPTOMS SUBSIDE
4-STILL NOT IMPROVING
METHYPREDNISOLONE 1G I/V DAILY FOR 3 DAYS THEN WEEKLY.
5-STILL NOT IMROVING
STEROIDS PLUS IMMUNOSUPPRESSIVE CYCLOPHOSPHAMIDE
6 STILL NOT
PLUS PLASMAPHORESIS
OR GAMMAGLOBULIN TRANSFUSION
memon
Re: Re: Quiz
quote:
abidrana wrote:
short course of steroid may be the ideal choice?
What would you achieve with short course of steroids say prednisolone for 2-3 weeks? What will happen when you stop the steroids. What are we trying to treat with steroids - rash? or arthritis?
For the rash topical steroids and sun avoidane/sun block creams might be adequate.
SO you gave steroids - lady got better, stoppped - both rash and arthritis flared up, so what next?
Think about it!!
abidrana
Re: Quiz
short course of steroid may be the ideal choice?
memon
Re: Re: Quiz
I will try to post some pictures of solar rashes.
Now since you have made the diagnosis of SLE - how would you manage her. Lets have step by step treatment regimen.
What would you prescribe at first?
[Edited by memon on 08-19-2002 at 04:54 PM GMT]
docosama
Re: Quiz
Memon:
Can you show us any picture describing solar rash ?
