SYSTEMIC LUPUS ERYTHEMATOSUS
It is an inflammatory disease of autoimmune nature involving connective tissue of several organ system. It is a disease with female predominance and rare below the age of 5 years. Common age group is between 30 and 60.
SYMPTOMS
ARTHRITIS & ARTHRALGIA
Joint deformities are common. Large joints are affected more than others. Permanent deformities does not occur.
SKIN LESIONS
Erythematous photosensitive butterfly rash affecting the cheek and nose is diagnostic. Frontal baldness may develop. Alopecia occur due to breaking up of hair. Painful ulcers develop in the mouth and pharynx.
NERVOUS SYSTEM
This is clinically characterised by neuropsychiatric symptoms.
KIDNEY
proteinuria, haematuria
RESPIRATORY SYSTEM
Dry pleurisy, pleural effusion is common. It is characterised by progressive reduction in the lung volume with evidence of diaphragmatic weakness.
CARDIOVASCULAR SYSTEM
Cardiac lesion include pericarditis , pericardial effusion , myocarditis with cardiac failure and valvulitis.
HAEMATOLOGY
Anaemia, leukopenia, thrombocytopenia.
HEPATOSPLENOMEGALY
Hepatosplenomegaly and lymphadenopathies are also seen in active SLE
LABORATORY INVESTIGATION
Markedly elevated ESR- above 100, moderate anaemia, leucopenia, thrombocytopenia, and moderate to severe thrombocytopenia. Increased ESR, ANA test areconfiormatory.
ROLE OF HOMOEOPATHY
Homoeopathy probably is the only system which can help and cure patients with autoimmune diseases. It works by boosting the immunity of the patient and hence making the disease weaker till it leaves the body.
OSTEOARTHRITIS
Osteoarthritis is disease of elderly but no age is exempt. It is caused mainly by wear and tear of joints.
ETIOLOGY
Most regular association of OA is with aging. Beyond the age of 50 yrs it is demonstrable in one or more of the joints. Several factors predispose the disease and accelerate the progression. These include pre-existing joint disease, obesity,hypermobility , orthopaedic deformities, diabetes mellitus , hyperparathyroidism, sensory neuropathies.
CLINICAL FEATURES-
Knees, cervical spine, lumbar spine, hips, shoulder and DIP joints are affected. Weight bearing joints like knees may develop deformities. In knees movement of knees sideways may keep pain. Vague pain and stiffness in knee especially after getting up from sitting posture are early symptom.
Patient may experience pain and disability while walking downstairs or slopes.
Crepitus or crackling in joint may be elevated on movements, cervical spondylosis may develop. Affection of lumbar spine [low back] leads to low backache and sciatica.
DIAGNOSIS
Xray- The bone shows subchondral sclerosis, narrowing of jointspace, osteophyte formation, joint destruction, cyst formation in the cortical bone and loose bodies within the joints.
MRI- Cartilage surface defect , meniscus and ligamentous damage occurring in joints are picked up early by MRI of affected joints.
CT- is useful in assessing the axial joints and spine.
MANAGEMENT
Principles of management include prevention of overuse of affected joints, limitation of activity to reduce pain, and physiotherapy to strengthen muscles around the joints.
ROLE OF HOMOEOPATHY
Osteoarthritis is a degenerative progressive disease. Once degeneration has reached its heights it is difficult to help patient, only palliative care and pain relief is possible. At the same time if the patient approaches us or reaches us before the whole degeneration is set in we can stop the degenerative process and help the patient. Once the degeneration is stopped recovery is not far. Our medicines which the ease the pain are not harmful to your kidney unlike other systems where pain killers are toxic to kidney. So homoeopathy helps in many ways.
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Homeopathic Specialist
(BHSc (Comp Med), Adv. Dip. Homeopathy)