- Author:
Marivic Z. BOLANDO
1
;
Sandra V. NAVARRA
1
;
Marjorie Faye L. NIERRA
1
Author Information
- Publication Type:Journal Article, Original
- MeSH: Human; Female; Adult: 25-44 Yrs Old; Middle Aged: 45-64 Yrs Old; Aged: 65-79 Yrs Old; Tuberculosis; Therapeutics; Rheumatology; Diagnosis; Censuses; Prednisone
- From: Philippine Journal of Internal Medicine 2026;64(1):21-32
- CountryPhilippines
-
Abstract:
OBJECTIVES
METHODSWe included all SLE cases reported between January 2021 and December 2022 based on our Rheumatology Section census in this retrospective chart review. We evaluated the changes in the prednisone dosage and the lupus disease activity before, during and after completion of tuberculosis (TB) treatment. The characteristics of the patients were also described.
RESULTSAll the subjects in the study were females with a mean age of 35.85 years. The pulmonary site (50 %) is the most common area of involvement in tuberculosis infection. Prior to anti-TB treatment, the mean MEX-SLEDAI score was 5.45 (SD ± 4.20) within 1 year prior to the TB diagnosis with prednisone dosage mean of 14 mg (SD ± 17.0). Three months after anti-tuberculosis medication initiation, the prednisone dosages and the MEX-SLEDAI increased however, the changes were not statistically significant. Within 1 month of completion of anti-TB treatment, there was decrease in the MEX-SLEDAI with mean of 3 (SD ± 3.68) and dosages of prednisone with mean of 4.38 mg (SD 3.13). The changes were statistically significant with p-values of
CONCLUSIONThere were no significant changes in the MEX-SLEDAI and prednisone dosage within 3 months of starting antiTB medications. However, completion of treatment results to better SLE disease scores and lower prednisone requirements.

