Patients | Panel assessment of flare | Organs/systems involved (those in bold were active in the current flare) | Outcome |
---|---|---|---|
A (AT) | Moderate | Rash, mouth ulcers, arthritis, renal haematology | Joint problems resolved spontaneously |
B (AM) | Moderate | Arthritis, rash, CNS, haematology | Anticonvulsants increased |
C (RG) | Severe | Arthritis, rash, gut vasculitis, mouth ulcers | Admitted immediately for BCD |
D (KL) | Moderate | Arthritis, malar rash, panniculitis haematology | Prednisolone 20 mg/day and given BCD |
E (JK) | None | Arthritis, pleuritis, renal haematology | No change in therapy |
F (RE) | Severe | Arthritis, pleurisy, haematology, mouth ulcers | Methotrexate dose increased |
G (H) | Mild | Arthritis, rash, psychosis, renal | Prednisolone 5 mg/day |
H (MJ) | Mild | Arthritis, rash, renal haematology | No change in therapy |
I (AB) | Moderate | Arthritis, rash, renal, haematology | No change in therapy |
J (NA) | Severe | Arthritis, pleurisy, haematology, fever | Admitted immediately for BCD |
K (SP) | Severe | Arthritis, haematology, rash, mouth ulcers, vasculitis | Prednisolone to 20 mg/and started MMF |
L (LD) | Severe | Vasculitis, rashes, arthritis, mouth ulcers, CNS (seizure) | Admitted for IVMP + AZA started |
M (HH) | Severe | Rash, mouth ulcers, arthritis, haematology, vasculitis | Admitted for IVMP |
N (FM) | Severe | Arthritis, rash, mouth ulcers, CNS (confusional state), renal, haematology | Given prednisolone 20 mg/day + MMF started |
0 (AM) | Moderate | Rash, arthritis, pleurisy | Admitted for IVMP |
P (JS) | Severe | Rash, CNS (hallucinations), mouth ulcers | Given IM steroids and tacrolimus cream |
AZA, azathioprine; BCD, B-cell depletion; CNS, central nervous system; IM, intramuscular; IVMP, intravenous methyl prednisolone; MMF, mycophenolate.