Drug-induced lupus erythematosus is an autoimmune disorder that is brought on by a reaction to medication. Specific criteria for diagnosing drug-induced lupus have not been formally established. However, some symptoms overlap with those of SLE. These include:
- Muscle and joint pain and swelling
- Flu-like symptoms of fatigue and fever
- Serositis (inflammation around the lungs or heart that causes pain or discomfort)
- Certain laboratory test abnormalities.
Once the suspected medication is stopped, symptoms should decline within days. Usually symptoms disappear within one or two weeks. Drug-induced lupus can be diagnosed with certainty only by resolution of symptoms and their failure to recur after stopping the medication.
+ Patient Care
- Patient Care
- Obtain the appropriate history to determine if a patient might have drug induced lupus
- Recognize the possible symptoms of drug induced lupus
- Identify the drugs known to cause drug induced lupus
- Determine the appropriate serologies to help diagnose drug induced lupus
- Distinguish the appropriate medical management
- Determine the appropriate follow-up for the patient
- Recognize the differences between and diagnosis of drug induced lupus and idiopathic lupus and the implications for a patient
+ Medical Knowledge
- Medical Knowledge
- Identify the drugs known to cause drug induced lupus
- Identify the treatment for drug induced lupus
- Recognize the symptoms and clinical findings of drug induced lupus
+ Practice-based Learning and Improvement
- Practice-based Learning and Improvement
- Demonstrate the ability to review and interpret the literature relevant to diagnosing drug induced lupus and possible causes
- Set learning goals in drug induced lupus diagnosis and management
- Effectively use laboratory testing results to manage patient care decisions and enhance education of the patient and the referring physician
- Develop a willingness to learn from errors and use errors in a constructive way to learn and to improve the systems for patient care
- Utilize web-based resources to enhance learning about drug induced lupus
+ Interpersonal and Communication Skills
- Interpersonal and Communication Skills
- Discuss the results of serologies that suggest a diagnosis of drug induced lupus
- Discuss the diagnosis of drug induced lupus with a patient
- Explain the possible treatment options of drug induced lupus based on symptoms
- Discuss the differences between a diagnosis of drug induced lupus and idiopathic lupus
+ Professionalism
- Professionalism
- Recognize the importance of patient confidentiality and privacy
- Understand the need to provide supportive care
- Encourage patients to ask questions regarding their disease and empower them to be participants in their care
- Provide adequate time and accessibility to address patient concerns
- Demonstrate an understanding of informed consent with regards to therapeutic options in the treatment of drug induced lupus
+ Systems-based Practice
- Systems-based Practice
- Create a team approach to manage patients with drug induced lupus engaging physicians from multiple disciplines
- Identify barriers to access and delivery of care to patients with complex, multi-system diseases
- Understand the resources available to help with delivery of care and patient support
- Identify the ways in which one can be a patient advocate including obtaining prior authorization for medications, treatments and diagnostic tests
- Behave as a consultant to referring providers to enhance comprehensive care of patients in terms of lupus management
- Demonstrate the ability to collaborate with other health care providers in evaluating a patient
- Implement a cost-effective management plan for a patient with drug induced lupus
