hi doc,i m in urgent need of your help....my sister in law is suffereing from SLE as confirmed by a doctor here in ahmedbad, india. Within 3 months her weight has been reduced to almost half..she is suffering from severe arthritis, bronchitis, cough and fever..kindly help me in this regard as one of the local doctor says there is no cure for SLE....it will be very kind of you if you can guide me what precautions to take and what are the medications....
Dear Friend, Thank you for your question. Your patient seems to be very sick. Her bronchitis is most likely SHE induced lung disease, however we should differentiate it with lung infection with cultures and CT Thorax. She should also be worked up for other major organ involvement like kidneys and nervous system. She requires steroids and HCQ for management asap. Please consult Immunologist/ Rheumatologist urgently for same. If issues regarding appointment please try at Jaipur. Thanks