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Lupus arthritis

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ELSEVIER SCI LTD
DOI: 10.1016/j.berh.2009.04.003

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systemic lupus erythematosus; arthritis; AVN; treatment

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Arthritis in systemic lupus erythematosus (SLE) is one of the most common disease manifestations. Nearly all joints call be affected by SLE, but hand and knee involvement are the most typical. Periarticular structures call be inflamed leading to tendonitis, tenosynovitis and tendon rupture. Avascular necrosis (AVN) also Occurs Causing joint pain and disability, typically ill larger joints such as the hip and knee. This article addresses the clinical features Of arthritis ill lupus and an approach to the differential diagnosis. Treatment strategies include nonsteroidal anti-inflammatories, corticosteroids, anti-malarials and a variety Of immunosuppressive medications. (C) 2009 Elsevier Ltd. All rights reserved.

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