AB0450 Systemic Lupus Erythematosus: A French Experience for 6 Years of Multidisciplinary Consultation in Brest. (15th July 2016)

• Record Type: Journal Article
• Authors: Carvajal Alegria, G.; Capaldo, C.; Roguedas-Contios, A.-M.; Hanrotel, C.; Pluchon, M.; Pasquier, E.; Renaudineau, Y.; Jousse-Joulin, S.
• Is Part Of: Annals of the rheumatic diseases. Volume 75(2016)Supplement 2
• Page Start: 1060
• Page End: 1060
• Publication Date: 2016-07-15
• Subjects: Rheumatism -- Periodicals; 616.723005
• DOI: 10.1136/annrheumdis-2016-eular.3435
• Languages: English
• ISSNs: 0003-4967

Abstract

Abstract : Background: Systemic lupus erythematosus (SLE) is a complex disease and its diagnosis and treatment can require multiple capabilities easily available for the patients. Objectives: Our objective was to set up a multidisciplinary consultation enabling patient support in occidental Brittany. Methods: Given the complexity for the management of patients with systemic lupus erythematosus (SLE), a multidisciplinary consultation was set up to ensure optimal care for SLE patients at Brest University Medical School. This consultation was set on a quarterly base and gather rheumatologists, dermatologists, nephrologists, gynecologists and internal medicine physicians. A close collaboration with the immunology laboratory for biological diagnosis and follow-up was also set up. Clinical and biological data were collected. Results: Of the 49 SLE patients followed since 2009, 45 were women (91.8%). The mean age was 47.1±17.7 years. Eighteen patients had malar rash (37.5%), 21 (43.8%) photosensitivity, 7 (14.6%) oral ulcers, 6 (12.5%) alopecia, 43 (89.6%) diffuse articular pain or arthralgia, 10 (20.8%) tenosynovitis, 15 (31.25%) lupus glomerulonephritis, 7 (14.3%) pericarditis, 2 (4%) cardiac vegetations, and 3 (6.1%) pleurisy. The mean SLEDAI score was 2.7±3.5, with values ranging from 0 to 17. Twenty patients were referred for diagnostic opinions (40.8%), 31 (63.3%) for therapeutic advice, 3 (6%) for pregnancy monitoring, and 16 (32.6%) for comorbidities management. The main comorbidities were cardiovascular risk factors and osteoporosis. Conclusions: In conclusion, the multidisciplinary consultation helps to provide diagnostic and therapeutic aid due to the presence of experts from several disciplines. Patient enrollment for several services enables the creation of a valuable database whose analysis is ongoing. Disclosure of Interest: None declared