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Resilient Homemaker: Navigating Life with Systemic Lupus Erythematosus

Mrs. Vijayalakshmi, a 32-year-old woman, has been battling Systemic Lupus Erythematosus (SLE) for the past five years. Her symptoms began in 2018 with headaches, scalp desquamation, hair loss, and severe skin allergies affecting her face, chest, neck, hands, thighs, and head. Seeking medical attention at Pratima Hospital, she was prescribed medications like prednisolone, HCQS, and Vitamin D supplements by Dr. Pranitha.

Despite two years of medication, her condition worsened with additional symptoms such as proteinuria, leg swelling, ascites, irregular periods, and persistent fever. Her condition further deteriorated after consulting various hospitals, including Vardha Hospital and Nijambat Ashram, where abrupt changes in her medication led to adverse effects.

In 2022, Mrs. Vijayalakshmi was admitted to SLNS Nature Cure Hospital under the care of Dr. Karthik Reddy. Upon admission, comprehensive blood tests revealed abnormal levels of several biomarkers. Following naturopathic treatments, yoga, and lifestyle modifications, significant improvements were observed.

In 2022, Mrs. Vijayalakshmi was admitted to SLNS Nature Cure Hospital under the care of Dr. Karthik Reddy. Upon admission, comprehensive blood tests revealed abnormal levels of several biomarkers. Following naturopathic treatments, yoga, and lifestyle modifications, significant improvements were observed.

Sl.No Medication
Before treatment
Medication
(After 12 months treatment)
Purpose
1Azathioprine 50 mg
(0-1-0)
TaperedInhibition of B and T lymphocytes and purine synthesis induces immunosuppression.
2Folic Acid
(0-1-0)
TaperedSupplement used to prevent side effects of immunosuppressive drugs
3Torsemide & Spironolactone 25mg
(1-0-0)
TaperedInhibit Na+/ K+/ 2Cl co transport mechanism which is a diuretic used to treat fluid retention and High blood pressure
4Prednisone 40mg
(1-0-0)

Tapered
Corticosteroid bind to glucocorticoid receptors, inhibiting proinflammatory signals and promoting anti-inflammatory signals.
5Pantoprazole Gastro Resistant 40mg
(1-0-0)
TaperedProton pump inhibitor used to treat gastrointestinal issues like acid reflux
6Vitamin C
(0-1-0)
Taking vitamin c supplement from Natural sourceVitamin supplement used to boost the immune system
7Hydroxychloroquine 200mg
(1-0-1)
TaperedPrevents antigen binding (inhibit alfa and beta chains to MHC) reduces inflammation.
MEDICATION TITRATION
Sl.no BiomarkerBefore TreatmentAfter treatment
1HbA1C5.95.3
2Uricacid6.125.36
3Vitamin D34.2106.6
4LDL342141
5Lipoprotein A>10049
6Triglycerides16150
7HDL2233
8ANAStrong positive ++++Ve Weakly Positive +ve
9Lymphocytes 1224
10Urinary protein++++ (frothy urine )Nil (no protein in urine)
TREATMENT FORECAST