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SAY ni DOK | Ano ang sanhi at paano makokontrol ang sintomas ng lupus?
PTVPhilippines
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1/22/2024
SAY ni DOK | Ano ang sanhi at paano makokontrol ang sintomas ng lupus?
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00:00
According to healthyphilipinas.ph, systemic lupus erythematosus or lupus
00:06
occurs in 30 to 50 per 100,000 people here in the Philippines
00:12
and around 9 out of 10 people with lupus are females.
00:17
And now, we will be joined by Dr. Anna Monica Estrella,
00:24
a rheumatologist, to talk about lupus.
00:27
Doctor, good morning. This is Diana and Audrey.
00:31
Good morning.
00:35
Okay, Doctor, for our RSP's who are not familiar with lupus,
00:42
can you explain what this is and are there different types of lupus?
00:47
Lupus, like you said earlier,
00:52
another name for this is systemic lupus erythematosus.
00:57
It can be called lupus or SLE.
01:01
SLE or lupus, generally, what happens to a person's body
01:08
is that the body is fighting against itself.
01:11
Usually, we see this in terms of autoimmune disease.
01:17
In other words, our body is fighting against our own body
01:22
that causes inflammation or the formation of organ systems in the body.
01:29
There are many different types of lupus.
01:33
There is systemic lupus erythematosus
01:36
that can affect any part or organ system in the body.
01:42
It can also be lupus on the skin or cutaneous lupus.
01:47
It can also be drug-induced lupus
01:52
or it can be related to taking other medicines.
01:55
There are also neonatal lupus
01:59
that can affect the uterus or the new birth.
02:06
What is the cause of lupus and what are the risk factors?
02:14
Lupus is an autoimmune disease.
02:19
There is nothing particular that causes lupus.
02:24
Usually, we call it an interplay of multiple factors.
02:29
It means that there are many factors.
02:33
Usually, there is a predisposition
02:36
or there are genetic factors that cause lupus
02:40
that makes a patient more at risk.
02:44
After that, if we have a genetic predisposition,
02:49
the environment can trigger or become a factor
02:54
that makes a patient's predisposition to lupus more active.
03:02
Some of the environmental triggers would be infection.
03:07
UV light or sunlight can also trigger lupus.
03:13
What are the symptoms of lupus and what part of the body can it affect?
03:23
Lupus can vary.
03:28
Different patients can have different symptoms.
03:33
Like what we said earlier, systemic lupus erythematosus.
03:38
Meaning systemic, the whole body can have a presentation of lupus.
03:45
However, there are some common symptoms.
03:49
Some of them are fatigue or general weakness,
03:54
fever, fever, joint pains, or the symptoms of morning sickness.
04:00
Rashes are also very common.
04:03
These are the symptoms we hear, like butterfly rash on the face.
04:08
Or there can be rashes on different parts of the body.
04:12
There can also be rashes on the mouth, hair loss,
04:17
and there are also different possible symptoms on different parts of the body.
04:23
Like in the sneezing, breathing, and heart.
04:27
So there can be a lot of symptoms of lupus.
04:33
Do you have any health issues or health conditions that can be caused by lupus?
04:39
Lupus, like what we mentioned earlier, is an inflammation of the organ system.
04:48
Meaning, our internal organs and parts of our body are affected.
04:56
After this, there can be complications, like a kidney, heart, or pulmonary system.
05:11
So that can be a complication.
05:14
Another thing, when we have lupus, we can be at risk for infection.
05:21
Or if our immune system is weak, it's easier to get sick.
05:27
Doctor Ana, is lupus fatal?
05:33
There are many different presentations of lupus in different patients.
05:41
We can see patients who have mild lupus,
05:46
not affected by other parts of the body.
05:50
There are also lupus that are affected by major organs of the body.
05:56
If this is fatal, it really varies.
06:04
It's not automatic that if a patient has lupus, they will die.
06:09
For other diseases, if lupus is swollen or there is a complication,
06:14
it's harder to treat or there is a risk that the prognosis is worse.
06:24
How is lupus diagnosed? What check-ups should an individual do?
06:31
There are diagnostic tests that can help us.
06:38
Usually, if the doctor notices that the patient's symptoms are lupus,
06:48
there are additional laboratory tests that can be done.
06:53
Some of these are the ANE or antibody tests that we can request to the patient.
07:01
This is blood. This can also be combined with other routine tests like CBC, blood count, urinalysis, chest x-ray.
07:13
All of these can be ordered to the patient.
07:16
There is no single test that can tell that the patient has lupus.
07:22
This is a combination of tests that the doctor needs to interpret.
07:27
Dr. Ana, you have mentioned a lot of information about lupus.
07:33
But as a last question, are there other things that our countrymen should know about this disease?
07:40
For our countrymen who are listening and are afraid or worried about lupus,
07:53
I would recommend a good health-seeking behavior.
07:58
Meaning, routine laboratory and routine check-ups with our doctors.
08:04
We should always be compliant.
08:07
Also, if we have symptoms, we should not stop talking to our doctors
08:13
so that they can help us diagnose it.
08:17
If we have risk factors, like in our relatives who have lupus or other autoimmune diseases,
08:26
we should not hide it from our doctors because it can help us diagnose the patients.
08:35
Lupus should not be feared.
08:39
We should monitor and help our doctors.
08:45
It is not automatic that this is a deadly disease.
08:51
Thank you for sharing your information with us on Libring Telemed this morning.
08:56
Dr. Ana, thank you.
08:58
Thank you. Good morning.
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