Overall view of SLE
SLE is an autoimmune disease which has very broad range of clinical manifestations and may involve people of various ages. It is indeed important to establish and maintain SLE databases to increase significance, awareness, early diagnosis, and better management of the disease. Because of the complexity of this disease, patients with SLE should have multidisciplinary approach starting from the primary healthcare and further involve other subspecialities like rheumatology and nephrology.
Patients with SLE often require therapies for prolonged periods of time. The outcome of the disease is a lot depends on the early diagnosis and treatment. Patients’ willingness to accept the diagnosis and their compliance to the treatment regime will ensure better prognosis. While initiating the treatment, it is vital to understand patients’ beliefs and perceptions about the disease and its therapy, which are influenced by their ethnic background, as this is likely to influence adherence and outcome.
In addition, there must be agreement or co-operation general between rheumatologist and primary healthcare regarding the management and monitoring of the patient. Medical education should be readily available and it will increase efficiency of rheumatology referral.
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