Abstract
Glucocorticoids (GCs) were first used for the treatment of inflammatory disease in the 1950s and have been heavily relied on for systemic lupus erythematosus (SLE) management across the seven decades since. Their potent antiinflammatory and immunosuppressive properties and rapid onset of action make GCs effective in suppressing SLE disease activity in many cases, and their use can be life or organ saving in patients with severe disease. However, their predictable and dose-dependent adverse effects make GCs a less than optimal treatment in SLE, especially for long-term use, and minimization is therefore a goal of SLE management. The clinical use of GCs in SLE, mechanisms of action, and adverse effects will be discussed in this chapter.
Original language | English |
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Title of host publication | Lahita’s Systemic Lupus Erythematosus |
Editors | Robert G. Lahita, Karen H. Costenbader, Richard Bucala, Susan Manzi, Munther A. Khamashta |
Place of Publication | London UK |
Publisher | Elsevier - Mosby |
Chapter | 38 |
Pages | 611-622 |
Number of pages | 12 |
Edition | 6th |
ISBN (Electronic) | 9780128205839 |
DOIs | |
Publication status | Published - 2021 |
Keywords
- Corticosteroids
- Glucocorticoids
- Systemic lupus erythematosus
- Treatment