Patient with an Autoimmune Disease
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There are almost 100 distinct autoimmune diseases that have been discovered at this time, some of which can cause significant pain. Autoimmune disease can be a challenge in inpatient management given the complex nature of the myriad of disorders. While in the hospital, these disorders can be challenging to treat. This chapter will focus on some of the more common autoimmune diseases and the diagnosis and treatment in the hospital setting. A short introduction to the specific pathophysiology and diagnosis of the most common disorders will be followed by a discussion of treatment. The focus will be on established and novel treatments for “flares” that often occur in these patients and can be the focus of hospitalization. Challenges to pain control will also be discussed including interactions with autoimmune drug treatments. Finally, this chapter will lightly touch on the pain assessment tools relevant to these diseases and then focus on challenges in treatment and transition of care.
KeywordsAutoimmune disease Rheumatoid arthritis Systemic lupus erythematosus Crohn’s disease Ulcerative colitis Inflammatory bowel disease Neuromodulation Musculoskeletal pain Abdominal pain
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