TY - CHAP M1 - Book, Section TI - Treatment of Systemic Lupus Erythematosus A1 - Khosroshahi, Arezou A1 - Lim, S. Sam A2 - Stone, John H. Y1 - 2021 N1 - T2 - Current Diagnosis & Treatment: Rheumatology, 4e AB - Systemic lupus erythematosus (SLE or lupus) is an autoimmune disease associated with autoantibody production and immune complex deposition. The disease is heterogeneous in its clinical presentation, course, and prognosis. Despite many advances in understanding of the human immune system in recent decades, diagnostic and treatment approaches in SLE remain mostly the same. Patients with SLE have significantly increased morbidity and mortality. The risk of death in SLE patients is reported to be two to five times higher than the general population. Although the survival rate of patients with SLE has improved from a 4-year survival rate of 50% in 1950 to a 15-year survival rate of 85% in 2013, the mortality remains high compared to the general population and lupus nephritis (LN) outcomes have not changed in the past 30 years. Successful treatments, as measured by long-term remission, are limited, and at this time only one new medication—belimumab—has been approved for SLE in more than 60 years. Patients with SLE rarely achieve complete disease remissions with the currently available treatments. SN - PB - McGraw Hill CY - New York, NY Y2 - 2024/04/16 UR - accessmedicine.mhmedical.com/content.aspx?aid=1180196632 ER -