: Laurent Arnaud, Ronald van Vollenhoven
: Advanced Handbook of Systemic Lupus Erythematosus
: Adis
: 9783319430355
: 1
: CHF 61.80
:
: Klinische Fächer
: English
: 179
: Wasserzeichen/DRM
: PC/MAC/eReader/Tablet
: PDF

Th s book will provide an introduction to the epidemiology, etiology and pathogenesis of the condition while also exploring the classification, diagnosis, and current and emerging therapies for systemic lupus erythematosus. Systemic lupus erythematosus is an autoimmune disease in which the body's immune system mistakenly attacks healthy tissue. It can affect the skin, joints, kidneys, brain, and other organs. The underlying cause of the disease is not fully known, and SLE is much more common in women than in men. It may occur at any age but most often occurs in people between 10 and 50 years of age. This is the second Adis title from Ronald F van Vollenhoven, who previously authored Biologics for the Treatment of Rheumatoid Arthritis.



Professor Ronald F van Vollenhoven is Chief of the Unit for Clinical Therapy Research, Inflammatory Diseases (ClinTRID) at the Karolinska Institute, and of the Clinical Trials Unit Rheumatology at the Karolinska University Hospital. He received his MD and PhD degrees from the University of Leiden in The Netherlands. After graduating in 1984 he pursued immunology research at Cornell Medical College in New York, followed by a residency (specialty training) in internal medicine at the State University of New York at Stony Brook, and a fellowship in rheumatology at Stanford University in Palo Alto following which he received American Board of Internal Medicine certification in both internal medicine and rheumatology. From 1993 to 1998 Professor van Vollenhoven held a faculty appointment as Assistant Professor of Medicine in the Division of Immunology and Rheumatology at Stanford University, and from 1995 he was the Medical Services Chief and Fellowship Director in that division. In 1998 Professor van Vollenhoven moved to Stockholm, Sweden, where he worked as a Senior Physician and Chief of the Clinical Trials Unit in the Department of Rheumatology at the Karolinska University Hospital and Associate Professor of Rheumatology; and in 2010, he was appointed in his current position as Professor and Unit Chief at the Karolinska Institute. Professor van Vollenhoven's research interests focus around the development and systematic evaluation of biologic and immunomodulatory treatments for the rheumatic diseases. With his co-workers, he has established the Stockholm registry for biological therapies (the STURE database) for this purpose, which has supported research projects relating to clinical efficacy, pharmacology, outcomes, and pharmacoeconomics. He has been principal investigator in many clinical trials of novel therapies in rheumatic diseases and has contributed to a number of important investigator-initiated trials including the SWEFOT trial. He has published over 300 original papers, book chapters and reviews, and is Editor of the textbook Targeted Treatment of the Rheumatic Diseases and associate-editor of Dubois' Lupus Erythematosus. In 2004, Professor van Vollenhoven was awarded the Scandinavian Research Foundation Prize for excellence in clinical research in rheumatology, and he is an honorary member of several rheumatology societies. He is the Editor-in-Chief of Lupus Science& Medicine, Chair of the EULAR Standing Committee on Clinical Affairs, member of many editorial boards, past-chair of the Swedish Rheumatology Society Professors' Council, co-founder of the IRBIS registry for biologics in systemic lupus erythematosus (SLE), the CERERRA registries collaboration, and the NORD-STAR collaboration for Nordic trials in the rheumatic diseases, and the initiator of the Treat-to-Target-in-SLE initiative. Professor van Vollenhoven lives just north of Stockholm with his wife and children aged 22 and 18. Outside his professional life he is an avid classical pianist. 
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Contents5
Author biographies8
Abbreviations11
1 Introduction15
1.1 Disease overview15
1.2 Epidemiology18
1.2.1 Incidence18
1.2.2 Prevalence19
1.3 Etiology and pathogenesis20
1.4 Genetic susceptibility22
1.4.1 Human leukocyte antigens22
1.4.2 Complement deficiencies22
1.4.3 Monogenic systemic lupus erythematosus and interferonopathies25
1.5 Environmental factors27
1.5.1 UV light27
1.5.2 Tobacco28
1.5.3 Silica28
1.5.4 Solvents28
1.5.5 Infections28
1.5.6 Other exposures29
1.6 Hormonal factors30
1.7 Drug-induced systemic lupus erythematosus31
References34
2Disease classification41
2.1 Historical development41
2.2 Classification criteria42
2.3 The American College of Rheumatology classification criteria for systemic lupus erythematosus42
2.4 Limitations of the American College of Rheumatology classification criteria for systemic lupus erythematosus46
2.5 The Systemic Lupus International Collaborative Clinics classification criteria for systemic lupus erythematosus47
2.6 Sub-classification of systemic lupus erythematosus51
References51
3Disease manifestations52
3.1 Overview52
3.2 Constitutional54
3.3 Musculoskeletal55
3.4 Dermatologic57
3.4.1 Histopathology of cutaneous lupus erythematosus57
3.4.2 Acute cutaneous lupus erythematosus57
3.4.3 Subacute cutaneous lupus erythematosus58
3.4.4 Chronic cutaneous lupus58
3.4.5 Bullous lesions60
3.4.6 Assessment of cutaneous activity61
3.5 Renal lupus62
3.6 Neuropsychiatric64
3.7 Cardiac manifestations67
3.8 Pulmonary69
3.9 Gastrointestinal71
3.10 Hematological72
3.11 Ocular manifestations75
References76
4Diagnosis84
4.1 Clinical assessment84
4.2 Laboratory testing85
4.2.1 Antinuclear antibodies85
4.2.2 Anti-dsDNA, anti-histone and anti-nucleosome antibodies87
4.2.3 Anti-ENA antibodies88
4.2.4 Other specificities88
4.2.5 Complement levels88
4.2.6 Antiphospholipid antibodies89
4.2.7 Standard laboratory testing90
4.3 Imaging90
4.4 Differential diagnosis93
References95
5Treatments98
5.1 Goals of treatment and treatment strategies98
5.1.2 Treatment strategies99
5.2 Local measures and nonsteroidal medications100
5.3 Antimalarials101
5.3.1 Hydroxychloroquine102
5.3.2 Chloroquine103
5.3.3 Quinacrine103
5.4 Systemic corticosteroids (glucocorticoids)104
5.5 Immunosuppressive agents105
5.5.1 Cyclophosphamide105
5.5.2 Azathioprine