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Safety of hormone replacement therapy

(HRT) in systemic lupus erythematosus (SLE).

Arden NK, Lloyd ME, Spector TD, GR.

Department of Rheumatology, St. '

Hospital, London, UK.

Despite its obvious benefits, many physicians are reluctant to prescribe HRT to

patients with SLE. We have performed a retrospective study in 60 postmenopausal

women with SLE including 30 HRT users and 30 never users. The patients were

studied for 12 months after the initiation of HRT. The two groups were well

matched for disease characteristics. The HRT users experienced significant

improvements in general well being, libido and depression. There was no

significant difference in any other parameter measured. There was no increase

in the number of thrombo-embolic events in the user

group despite 7 patients having a positive thrombophilia

screen. In conclusion, in stable postmenopausal SLE HRT appears well tolerated

and safe.

Hugs,

Deanna

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