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| *Women health>>>Lupus |
PLEASE HELP!!! My mom has RA and Lupus, and now she has an eye infection!? |
It's really bad. There's pain, swelling, redness, and a lot of discharge. It is not itchy. She is also sensitive to light, and has difficulty focusing. She takes Enbrel and methotrexate for her condition. She won't go to the doctor and I am very concerned. And it's not conjunctivitis(pink eye). Perhaps if you tell her that untreated eye infections can cause serious damage to the eyes (including blindness), she will take it more seriously. Ultimately she makes her own decisions, so you can do your part by making sure she's well-informed. You need take your'e mother to the doctor and see what he/she can do for your'e mother I know she listen to you need to take good care of your'e mom because It would really help get her to try to take some medicine for those things and see how it worksout for you? Your mom should indeed visit a doctor, she probably has episcleritis (or scleritis), one of the extra-articulair symptoms you can have with RA In episcleritis, the eye becomes acutely red and painful without a discharge. disorder is usually benign and self-limiting. In scleritis, there is a deep ocular pain. In addition, dark red discoloration can appear as metalloproteases generated by activated scleral cells degrade scleral collagen in rare cases down to the uveal layer. Compared to episcleritis, scleritis is associated with a more ominous prognosis Treatment recommendations: Although topical medications may provide symptomatic relief, systemic therapy is required to treat and reverse the course of scleritis or corneal ulcerative disease in patients with RA. The therapy needs to be individualized according to the severity of the patient's condition and comorbidities, response to therapy, and side effects. In mild cases, we usually begin with an NSAID alone. In moderately severe disease (eg, severe diffuse or nodular scleritis), we usually begin with prednisone at 1 mg/kg per day. In necrotizing disease or disease unresponsive to the above measures, we add methotrexate (10 to 20 mg/week) to prednisone. An alternative regimen consists of supplementing prednisone with oral cyclophosphamide (1 to 2.5 mg/kg per day). Remission is usually achieved in the first three weeks, after which the prednisone is tapered. BUT IMPORTANT: let her visit a doctor! Myself: medical student (6th year) in Belgium |
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