Systemic Lupus Erythematosus and Obesity Successfully Treated with Nutraceuticals and a Gluten-Milk-Sugar-Free Diet - Abstract
Objective: To describe a patient with systemic lupus erythematosus (SLE) and obesity who was successfully treated by nutraceuticals and a gluten-milk-sugar-free diet.
Material and methods: Case report.
Results and Discussion:
Case report: A 37-year-old female patient with an unmarked past medical history was diagnosed as SLE and methotrexate 20mg/week, prednisolone 60mg/day, and monthly injection betamethasone depot were initiated. After this treatment, she gained 36 kg. The lactose tolerance test was positive. We suspended the corticoid injection, increased vitamin D3, and added omega-3, vitamin C, N-acetyl cysteine, 5-hydroxytryptamine, thiamine, and pyridoxine. Dysbiosis was treated. A gluten-milk-sugar–free diet and low salt intake were suggested. After 3 months, she returned, feeling much better; she reduced 18kg in the period. She stopped propranolol, and prednisolone was tapered off. Currently, two years later, the patient is asymptomatic, SLEDAI=0, using only hydroxychloroquine and vitamin D, she keeps a gluten-milk-sugar-free diet, and her weight is 63kg.
Conclusion: This case illustrates an interesting case of a patient with lupus and obesity that was successfully treated by a gluten-milk-sugar-free diet and nutraceuticals. It may be an alternative therapeutic option for these patients.