Dr Kola Tytler MBBS CertHE MBA MRCGPClinical Lead • iatroX
When to refer a patient with systemic lupus erythematosus (SLE) to a specialist:
- Refer patients with suspected or confirmed SLE to a rheumatologist or specialist experienced in managing autoimmune diseases when there is diagnostic uncertainty, active disease requiring specialist management, or organ involvement (e.g., renal, neurological, or severe hematological manifestations).
- Urgent referral is warranted if there are signs of severe disease flare, such as rapidly progressive organ dysfunction or life-threatening complications.
Information to include in the referral:
- Patient demographics and contact details.
- Clinical history including symptom onset, duration, and pattern.
- Details of clinical findings, including joint involvement, skin manifestations, and any systemic symptoms.
- Results of relevant investigations such as ANA, anti-dsDNA, complement levels, full blood count, renal function, and urinalysis.
- Current and past treatments and response.
- Any complications or organ involvement noted.
- Reason for referral and urgency.
Providing comprehensive clinical and laboratory information facilitates timely specialist assessment and management planning.