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Review
. 2023 Jan 27:74:339-352.
doi: 10.1146/annurev-med-043021-032611. Epub 2022 Jul 8.

Systemic Lupus Erythematosus: New Diagnostic and Therapeutic Approaches

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Free article
Review

Systemic Lupus Erythematosus: New Diagnostic and Therapeutic Approaches

Stephanie Lazar et al. Annu Rev Med. .
Free article

Abstract

Systemic lupus erythematosus (SLE) is a devastating autoimmune disease that can result in substantial morbidity and mortality. Diagnosis and treatment of SLE are clinical challenges. Patient presentation and response to therapy are heterogeneous because of the complex immune dysregulation that results in SLE disease pathogenesis. An intricate interplay between genetic risk and skewing of adaptive and innate immune system responses leads to overproduction of type I interferons and other cytokines, complement activation, immune-complex deposition, and ultimately inflammation and tissue damage. Here, we review the classification criteria as well as standard and emerging diagnostic tools available to identify patients with SLE. We then focus on medical management, including novel therapeutics, nonpharmacologic interventions, and comorbidity management.

Keywords: biologic; interferon; lupus; therapies.

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