Thomas Jefferson University, Philadelphia, Pennsylvania (M.K., C.L.C.).
Ann Intern Med. 2020 Jun 2;172(11):ITC81-ITC96. doi: 10.7326/AITC202006020.
Systemic lupus erythematosus (lupus) is characterized by aberrant activity of the immune system, leading to variable clinical symptoms. Lupus is more prevalent in African American women and women in other ethnic minority groups. Diagnosing, treating, and identifying novel therapies for lupus is challenging because of its genetic and phenotypic heterogeneity. Lupus nephritis is the most common target-organ manifestation and requires individualized care to minimize toxicity. A multidisciplinary approach to caring for pregnant patients with lupus is essential to optimize outcomes.
系统性红斑狼疮(狼疮)的特征是免疫系统异常活跃,导致不同的临床症状。狼疮在非裔美国女性和其他少数族裔女性中更为常见。由于狼疮的遗传和表型异质性,诊断、治疗和确定新的治疗方法具有挑战性。狼疮肾炎是最常见的靶器官表现,需要个体化的护理以最大程度地减少毒性。多学科方法治疗狼疮孕妇对于优化结局至关重要。