Dr. Sait Burak Erer has managed 900+ systemic lupus cases over _doctor_6908_years_ – the highest experience among Turkey's rheumatologists. Treatment may cost around $2,000, covering a personalized medication plan with extended blood tests and rheumatology panel. Memorial Şişli is JCI-accredited since 2002, maintaining international safety standards. Dr. Erer adjusts each plan after an in-clinic assessment and provides quarterly follow-ups.
Memorial Şişli Hospital in Istanbul is one of Turkey’s leading multidisciplinary medical centers, operating on a 53,000 m² area with 252 beds, 13 operating rooms, and advanced intensive care units. Opened in 2000, it became the first hospital in Turkey and the 21st worldwide to earn Joint Commission International (JCI) accreditation, confirming world-class standards.
\n\nThe hospital is recognized for its expertise in oncology, organ and bone marrow transplantation (90% organ transplant success rate), IVF, neurosurgery, bariatric surgery, robotic surgery, and genetics. Equipped with cutting-edge technology and specialized centers, Memorial Şişli attracts patients from 167 countries each year, combining top-level medical care with Istanbul’s unique cultural and travel opportunities.
\n","images":[{"base_url":"clinic/634ffae9b76cd","title":"Memorial Şişli Hospital modern clinic building in Istanbul, Turkey"},{"base_url":"clinic/5ba3aa9d874b8","title":"Patient room at Memorial Şişli Hospital, Istanbul with modern furnishings and TV"},{"base_url":"clinic/5ba3aa9ebbdf9","title":"Patient room and lounge area at Memorial Şişli Hospital, Istanbul"},{"base_url":"clinic/634ffa7dd8799","title":"Reception desk at Memorial Şişli Hospital with modern decor in Istanbul"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"Turkey","id":46,"alias":"turkey","iso_code":"TR"},"city":{"name":"Istanbul","id":107,"alias":"istanbul"},"address":"Kaptan Paşa Mah, Halit Ziya Türkkan Sok Famas Plaza No:19 D:C, 34385 Şişli/İstanbul, Turkey"},"rating":{"rating":4.6,"google":4.7,"percent_of_satisfied_clients":87},"statistics":{"number_of_reviews":437,"doctors_number":189,"year_foundation":2000},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db982e01da4b.jpeg","name":"International Organization for Standardization","country_code":"CH"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Joint Commission International ","country_code":"US"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"The clinic is JCI and LEED Platinum certified, the first in Turkey to ensure international standards in a green hospital environment. Medication therapy for SLE may cost around $2,000 for a package covering consultation, extended blood tests, inpatient hospitalization, and transfers. It includes 24/7 nursing, medication, meals, interpreting services, and companion accommodation during the stay.
","text_type":"mt_wow_description","best_texts":{"techniques":"Medication therapy for Systemic Lupus Erythematosus, rheumatology consultation, extended blood tests","good_fit_for":"Patients requiring comprehensive lupus management","why_its_ranked":"Offers specialized medication therapy with personalized treatment plans. Includes rheumatology consultation and detailed blood tests for accurate diagnosis and monitoring."},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":200,"price_to":200,"currency":"USD","id":46748},"diagnostic":{"id":354,"name":"Consultation with an orthopaedist","alias":"orthopedic-consultation"}},{"prices":{"price_from":250,"price_to":250,"currency":"USD","id":47022},"diagnostic":{"id":134,"name":"Consultation rheumatologist","alias":"consultation-rheumatologist"}}],"reviews":[],"clinic":{"id":410,"alias":"memorial-bahcelievler-hospital","name":"Memorial Bahçelievler Hospital","short_description":"Memorial Bahçelievler Hospital is Turkey’s first LEED Platinum-certified hospital. It is part of the country’s largest healthcare network, Memorial Healthcare Group. Its core specialties include oncology, cardiovascular surgery, orthopedics, and robotic surgery.
Istanbul Florence Nightingale Hospital, Turkey's first Smart-and-Green hospital, offers JCI-accredited lupus care with free transfers and interpreters. Dr. Ege Sinan Torun leads the rheumatology team with extensive diagnostic capabilities – including brain MRI and kidney biopsy – priced separately. The clinic's all-inclusive approach features multidisciplinary specialists and EOS low-radiation imaging. Initial rheumatology consultation costs around $220-240 USD.
Istanbul Florence Nightingale Hospital is Turkey's first Smart-and-Green hospital, certified by TÜV Hessen. It holds JCI and ISO accreditation and treats over 300,000 patients each year. Its strongest specialty is orthopedics, with the first EOS device in Turkey for low-dose imaging.
Prof. Meryem Can, head of Rheumatology at Medipol Mega University Hospital, offers a comprehensive lupus diagnostic package that may cost around $2,250. The package typically includes specialist consultations, comprehensive blood tests, eye examination, and follow-up consultation. The hospital is JCI-accredited and features advanced diagnostic equipment like 3T MRI and PET-CT. Prof. Can leads the rheumatology department with academic expertise in systemic autoimmune diseases.
","text_type":"mt_wow_description","best_texts":{"techniques":"Clinical examination, laboratory diagnostics, CT, echocardiography, MRI","good_fit_for":"Comprehensive lupus diagnosis and management","why_its_ranked":"JCI-accredited hospital with full diagnostic capabilities including MRI for brain/spinal lesions. Rheumatology team led by Prof. Dr. Meryem CAN."},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":150,"price_to":400,"currency":"USD","id":16307},"diagnostic":{"id":240,"name":"MRI of the spine cord","alias":"mri-of-the-spine"}},{"prices":{"price_from":250,"price_to":250,"currency":"USD","id":46913},"diagnostic":{"id":457,"name":"Consultation with creation of treatment plan ","alias":"consultation-with-creation-of-treatment-plan"}}],"reviews":[],"clinic":{"id":85,"alias":"medipol-mega-hastaneler-kompleksi","name":"Medipol Mega University Hospital","short_description":"Medipol Mega University Hospital is a JCI-accredited private hospital complex. It is one of Turkey's largest multi-specialty medical centers. The hospital sees over a million patients annually and specializes in oncology, neurology, cardiovascular care, transplants, and IVF.
Dr. Fulya Dörtbaş brings _doctor_3011_years_ of rheumatology expertise, specializing in autoimmune diseases like Systemic Lupus Erythematosus. The diagnostic package may cost around $1,900 – typically covering rheumatology consultation, comprehensive blood tests, imaging studies, and 7 days of guest house accommodation. Emsey Hospital holds JCI accreditation and offers advanced rheumatology diagnostics. Dr. Dörtbaş trained at Ankara Numune Training and Research Hospital, with particular focus on Familial Mediterranean Fever and Psoriatic Arthritis.
Emsey Hospital is a multi-specialty medical center on the Asian side of Istanbul. It is the first hospital to receive the International Health Tourism Authorization Certificate (001) from the Turkish Ministry of Health. The hospital is especially known for orthopedics, spine surgery, bone marrow transplantation, and oncology.
Dr. Mustafa Ferhat Öksüz specializes in Systemic Lupus Erythematosus treatment at VM Medical Park Pendik's 400-bed facility. The clinic offers a package around $500 – typically covering consultation, blood tests, 1-night hospitalization and medical treatment. The rheumatology department provides airport transfers and interpreting services.
","text_type":"mt_wow_description","best_texts":{"techniques":"Medical treatment with hospitalization, lupus nephritis class III and V management","good_fit_for":"Lupus nephritis with renal involvement","why_its_ranked":"Specializes in managing lupus nephritis classes III and V. Nephrology department provides comprehensive hospitalization and treatment, with initial evaluations to determine necessary hospital stay duration."},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"reviews":[],"clinic":{"id":5614,"alias":"vm-medical-park-pendik-hospital","name":"VM Medical Park Pendik Hospital","logo":"https://s3.eu-central-1.amazonaws.com/bookimed/clinic_logo/5614-6ac3c105443e3.png","short_description":"VM Medical Park Pendik Hospital is a JCI-accredited multi-specialty hospital in Istanbul. It specializes in neurosurgery, obstetrics, and gynecology. Over 150 physicians treat patients from Europe, North America, and beyond.
Memorial Şişli Hospital is the first JCI-accredited facility in Turkey, offering specialized rheumatology care across a 53,000 m² multidisciplinary campus. The department provides diagnostic workups and long-term management for complex autoimmune and inflammatory conditions.
Memorial Şişli Hospital in Istanbul is one of Turkey’s leading multidisciplinary medical centers, operating on a 53,000 m² area with 252 beds, 13 operating rooms, and advanced intensive care units. Opened in 2000, it became the first hospital in Turkey and the 21st worldwide to earn Joint Commission International (JCI) accreditation, confirming world-class standards.
\n\nThe hospital is recognized for its expertise in oncology, organ and bone marrow transplantation (90% organ transplant success rate), IVF, neurosurgery, bariatric surgery, robotic surgery, and genetics. Equipped with cutting-edge technology and specialized centers, Memorial Şişli attracts patients from 167 countries each year, combining top-level medical care with Istanbul’s unique cultural and travel opportunities.
\n","images":[{"base_url":"clinic/634ffae9b76cd","title":"Memorial Şişli Hospital modern clinic building in Istanbul, Turkey"},{"base_url":"clinic/5ba3aa9d874b8","title":"Patient room at Memorial Şişli Hospital, Istanbul with modern furnishings and TV"},{"base_url":"clinic/5ba3aa9ebbdf9","title":"Patient room and lounge area at Memorial Şişli Hospital, Istanbul"},{"base_url":"clinic/634ffa7dd8799","title":"Reception desk at Memorial Şişli Hospital with modern decor in Istanbul"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"Turkey","id":46,"alias":"turkey","iso_code":"TR"},"city":{"name":"Istanbul","id":107,"alias":"istanbul"},"address":"Kaptan Paşa Mah, Halit Ziya Türkkan Sok Famas Plaza No:19 D:C, 34385 Şişli/İstanbul, Turkey"},"rating":{"rating":4.6,"google":4.7,"percent_of_satisfied_clients":87},"statistics":{"number_of_reviews":437,"doctors_number":189,"year_foundation":2000},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db982e01da4b.jpeg","name":"International Organization for Standardization","country_code":"CH"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Joint Commission International ","country_code":"US"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}}}],"clinicsMeta":{"total_count":6,"total_pages":1},"clinicsCount":6,"clinicsCountByEntity":{"clinic_count":34},"doctors":{"doctors":[{"card_text":"Dr. Sait Burak Erer specializes in medication therapy for Systemic Lupus Erythematosus at Memorial Şişli Hospital.
Memorial Şişli Hospital in Istanbul is one of Turkey’s leading multidisciplinary medical centers, operating on a 53,000 m² area with 252 beds, 13 operating rooms, and advanced intensive care units. Opened in 2000, it became the first hospital in Turkey and the 21st worldwide to earn Joint Commission International (JCI) accreditation, confirming world-class standards.
\n\nThe hospital is recognized for its expertise in oncology, organ and bone marrow transplantation (90% organ transplant success rate), IVF, neurosurgery, bariatric surgery, robotic surgery, and genetics. Equipped with cutting-edge technology and specialized centers, Memorial Şişli attracts patients from 167 countries each year, combining top-level medical care with Istanbul’s unique cultural and travel opportunities.
\n","images":[{"base_url":"clinic/634ffae9b76cd","title":"Memorial Şişli Hospital modern clinic building in Istanbul, Turkey"},{"base_url":"clinic/5ba3aa9d874b8","title":"Patient room at Memorial Şişli Hospital, Istanbul with modern furnishings and TV"},{"base_url":"clinic/5ba3aa9ebbdf9","title":"Patient room and lounge area at Memorial Şişli Hospital, Istanbul"},{"base_url":"clinic/634ffa7dd8799","title":"Reception desk at Memorial Şişli Hospital with modern decor in Istanbul"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"Turkey","id":46,"alias":"turkey","iso_code":"TR"},"city":{"name":"Istanbul","id":107,"alias":"istanbul"},"address":"Kaptan Paşa Mah, Halit Ziya Türkkan Sok Famas Plaza No:19 D:C, 34385 Şişli/İstanbul, Turkey"},"rating":{"rating":4.6,"google":4.7,"percent_of_satisfied_clients":87},"statistics":{"number_of_reviews":437,"doctors_number":189,"year_foundation":2000},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db982e01da4b.jpeg","name":"International Organization for Standardization","country_code":"CH"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Joint Commission International ","country_code":"US"}]}},{"card_text":"Dr. Torun specializes in systemic lupus erythematosus treatment with a strong focus on immunology and rheumatology at Istanbul Florence Nightingale Hospital.
Dr. Ege Sinan Torun is a rheumatologist at Istanbul Florence Nightingale Hospital. He has over a decade of clinical experience at Istanbul University. Dr. Torun focuses on internal medicine, immunology, and rheumatology. He also conducts research in hematology and nephrology. He treats patients at a JCI-accredited facility in Turkey.
Istanbul Florence Nightingale Hospital is Turkey's first Smart-and-Green hospital, certified by TÜV Hessen. It holds JCI and ISO accreditation and treats over 300,000 patients each year. Its strongest specialty is orthopedics, with the first EOS device in Turkey for low-dose imaging.
Dr. Fulya Dortbas is a rheumatologist at Emsey Hospital in Istanbul. She specializes in chronic inflammatory conditions like Familial Mediterranean Fever (FMF). Dr. Dortbas completed dual specializations in internal medicine and rheumatology. She earned these credentials at the Ankara Numune Training and Research Hospital.
Emsey Hospital is a multi-specialty medical center on the Asian side of Istanbul. It is the first hospital to receive the International Health Tourism Authorization Certificate (001) from the Turkish Ministry of Health. The hospital is especially known for orthopedics, spine surgery, bone marrow transplantation, and oncology.
This therapy targets symptoms, not causes, to alleviate discomfort and aid quick recovery for a more comfortable life.
"},"761":{"operation":{"name":"Medication therapy for Systemic Lupus Erythematosus","alias":"medication-therapy-for-systemic-lupus-erythematosus","use_for_listing":true},"country_price":{"US":{"amount":9000,"max_amount":20000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":900,"max_amount":2300,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":800,"max_amount":1600,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":2400,"max_amount":5600,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":1100,"max_amount":2600,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"UA":false,"FR":false,"GB":false,"US":false,"IL":true,"TR":false,"MX":false,"DE":false,"CA":false,"AE":false,"TH":false,"PL":false,"KR":false,"CZ":false,"AT":false,"ES":false,"IT":false,"CN":false,"AU":false,"IN":false,"MY":false,"VN":false,"BR":false},"description":"This therapy aims to control lupus symptoms via medication, tailoring treatment according to patient needs, offering symptom relief.
"},"796":{"operation":{"name":"Gendevra","alias":"gendevra","use_for_listing":false},"country_price":{"US":{"amount":3500,"max_amount":8000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":1800,"max_amount":3500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":1400,"max_amount":3600,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":2800,"max_amount":6000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":2400,"max_amount":4300,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":false,"TH":false,"AT":false,"ES":false},"description":"This therapy utilizes genes to treat or prevent disease, offering potentially revolutionary treatments for various conditions.
"},"797":{"operation":{"name":"Tivicay and Truvada","alias":"tivicay-and-truvada","use_for_listing":false},"country_price":{"US":{"amount":2700,"max_amount":3900,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":1100,"max_amount":1900,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":380,"max_amount":700,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":1300,"max_amount":1800,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":1800,"max_amount":3200,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":false,"TH":false,"AT":false,"ES":false},"description":"This therapy involves two medications, used to control and manage HIV infection effectively.
"},"798":{"operation":{"name":"Truvada and Rezo","alias":"truvada-and-rezo","use_for_listing":false},"country_price":{"US":{"amount":2400,"max_amount":5000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":480,"max_amount":750,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":370,"max_amount":550,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":1100,"max_amount":1900,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":700,"max_amount":1100,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":false,"TH":false,"AT":false,"ES":false},"description":"This therapy is a proven HIV prevention method using specific medications, offering low side effects and high protection.
"},"799":{"operation":{"name":"Eviplera","alias":"eviplera","use_for_listing":false},"country_price":{"US":{"amount":3100,"max_amount":3900,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":750,"max_amount":1200,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":500,"max_amount":700,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":4500,"max_amount":7500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":800,"max_amount":1100,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":false,"TH":false,"AT":false,"ES":false},"description":"This therapy uses a combination medication to treat HIV-1 infection, enhancing patients\" immune response.
"},"846":{"operation":{"name":"Conservative treatment","alias":"conservative-treatment","use_for_listing":false},"country_price":{"US":{"amount":2500,"max_amount":5500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":1200,"max_amount":2800,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":900,"max_amount":2400,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":2200,"max_amount":4800,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":1400,"max_amount":2800,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":false,"TH":false,"AT":false,"ES":false},"description":"This therapy aims to manage health issues non-surgically, employing medications or physical therapy, focusing on natural healing.
"},"847":{"operation":{"name":"Drug treatment","alias":"drug-treatment","use_for_listing":false},"country_price":{"US":{"amount":2500,"max_amount":6000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":980,"max_amount":1100,"currency":"USD","clinic_count":4,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":1300,"max_amount":1800,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":1200,"max_amount":3800,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":1100,"max_amount":2200,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"AT":false,"ES":true},"description":"The procedure assists in combating diseases using medications to relieve symptoms and potentially cure ailments.
"}}},"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":7,"days_in_country":14,"rehabilitation_days":30,"satisfied_percent":78,"treatment_duration_hours":4},"illness_kind_details":{"requests_processed":2236}},"responsibleDoctor":{"id":3065,"alias":"kayhan-turan","name":"Kayhan Turan ","photo":"doctor/612e235a45616","advisory_text":"Dr. Kayhan Turan is an orthopedic surgeon specializing in robotic-assisted joint replacement and sports medicine. He performed Turkey's first robotic knee and hip replacements and has completed over 3,500 robotic surgeries.","linkedin":"https://www.linkedin.com/in/drkayhanturan/","specialities":[{"id":"sur.016","name":"Orthopedic surgeon ","illness_kind_id":33}]},"direction":{"id":29,"name":"Rheumatology","alias":"rheumatology"},"illness_kind":{"id":29,"name":{"en":"Rheumatology"}},"parsed_details":{"procedure_type":"therapy","fields":{"anesthesia":["none"],"back_to_work_days":{"min":0,"max":2,"unit":"days","qualifier":"Oral or injectable therapy needs no downtime; depends on disease activity and infusion schedule."},"complication_rate_pct":{"min":15,"max":40,"unit":"percent","qualifier":"Any drug-related adverse event over 12 months, mostly infections and steroid effects; serious events about 5-10%."},"contraindications":["Known hypersensitivity to the prescribed drug","Active serious infection","Pregnancy or planned pregnancy with mycophenolate or cyclophosphamide","Severe liver or kidney impairment for certain agents","Pre-existing retinopathy with hydroxychloroquine","Live vaccines during immunosuppression","Untreated hepatitis B or tuberculosis"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Assessment and regimen setup are done as outpatient visits without overnight stay."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":0,"max":1,"unit":"weeks","qualifier":"Light activity continues as tolerated; depends on disease activity and fatigue."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Disease control builds gradually; hydroxychloroquine and immunosuppressants take months, nephritis response longer."},"fly_home_after_days":{"min":5,"max":10,"unit":"days","qualifier":"After assessment, regimen setup and baseline laboratory results; no medication-related flight restriction."},"follow_up_visits":[{"purpose":"assessment","after":{"min":28,"max":90,"unit":"days","qualifier":"Disease activity and laboratory monitoring, usually with home rheumatologist."},"requirement":"routine"},{"purpose":"result_review","after":{"min":180,"max":365,"unit":"days","qualifier":"Review of response, flares and drug toxicity; periodic eye screening on hydroxychloroquine."},"requirement":"routine"}],"indications":["Systemic lupus erythematosus with mild, moderate or severe activity","Lupus nephritis","Cutaneous and musculoskeletal lupus manifestations","Neuropsychiatric or hematologic lupus involvement","Flare prevention and organ damage limitation in established SLE"],"main_risks":["Drug-specific risks: infections from immunosuppressants and glucocorticoids.","Glucocorticoid effects: weight gain, glucose, blood pressure, bone loss, mood.","Drug toxicities needing lab monitoring (blood count, liver, kidney).","Hydroxychloroquine retinal toxicity with long-term use; eye screening required.","Pregnancy risks with some agents (mycophenolate, cyclophosphamide)."],"pain":"The therapy itself is painless apart from injection or infusion site discomfort. Treatment reduces joint and disease-related pain over weeks.","preparation":["Bring rheumatology records and recent laboratory results","Screen for hepatitis B, hepatitis C and tuberculosis","Baseline blood count, liver and kidney tests","Baseline eye examination for hydroxychloroquine","Review current medications and vaccination status","Pregnancy plan discussed with doctor"],"recovery_timeline":[{"phase":"Days 1-10: assessment and setup","description":"Examination, laboratory tests and regimen start with dose adjustment and teaching.","restrictions":["Report fever or infection signs promptly"]},{"phase":"Weeks 2-12: response","description":"Symptoms gradually improve; steroids tapered as disease control allows.","restrictions":["Avoid sun exposure without protection","Avoid live vaccines"]},{"phase":"Months 3-6 onward: maintenance","description":"Lowest effective doses continued with regular laboratory monitoring.","restrictions":["Keep monitoring schedule"]}],"rehabilitation_days":{"min":0,"max":0,"unit":"days","qualifier":"No rehabilitation needed; normal function continues during drug therapy."},"result_longevity":"Benefit lasts only while therapy continues; lupus is lifelong and flares may occur if treatment is stopped or reduced.","revision_rate_pct":null,"scars":"None; no incisions.","sessions_or_stages":{"sessions":{"min":1,"max":3,"unit":"visits","qualifier":"One assessment trip sets up regimen; ongoing therapy is continued at home."},"stages":[{"code":"assessment","label":"Rheumatology assessment and baseline tests","after":{"min":0,"max":3,"unit":"days","qualifier":"At arrival."}},{"code":"regimen_start","label":"Start and adjust drug regimen","after":{"min":3,"max":10,"unit":"days","qualifier":"After results are reviewed."}}],"qualifier":"Lifelong maintenance therapy follows at home with periodic monitoring."},"success":{"metric":"Low disease activity or remission (SLEDAI-2K ≤4 or LLDAS) achieved","value":50,"unit":"percent of patients","horizon":"6-12 months","population":"Adults with active SLE on hydroxychloroquine-based therapy with or without immunosuppressants or biologics","evidence_status":"limited"},"techniques":[{"name":"Hydroxychloroquine","suits_whom":"Nearly all SLE patients as baseline therapy","recovery":"Oral daily; effect over 3-6 months; periodic eye screening."},{"name":"Glucocorticoids","suits_whom":"Flares and organ involvement, short-term at lowest dose","recovery":"Rapid effect within days; taper over weeks."},{"name":"Immunosuppressants (methotrexate, azathioprine, mycophenolate)","suits_whom":"Moderate to severe disease or steroid sparing","recovery":"Effect over 2-3 months; laboratory monitoring."},{"name":"Biologics (belimumab, anifrolumab)","suits_whom":"Active disease despite standard therapy","recovery":"Infusion or injection; response over 3-6 months."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":1,"max":3,"unit":"hours","qualifier":"Initial consultation and tests; infusion visits longer; oral drugs taken daily at home."},"initial_assessment_documents":["Rheumatology diagnosis report with SLE classification criteria","Recent ANA and anti-dsDNA antibody results","Recent complement C3 and C4 levels","Complete blood count and creatinine results","Urinalysis and urine protein-to-creatinine ratio","Current immunosuppressant and steroid list with doses"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"One trip covers assessment and regimen setup in 5-10 days; lifelong therapy continues at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check that the clinic plans regular checks and tests, such as blood and urine tests, after diagnosis. Why: these catch anaemia and kidney problems","scope":"procedure","source":{"url":"https://www.nhs.uk/conditions/lupus/","host":"nhs.uk","quote":"If lupus is confirmed, you'll be advised to have regular checks and tests, such as blood tests to check for anaemia and urine tests to check for kidney problems.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check the clinician's qualifications and the facility's credentials for this procedure","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"Check the qualifications of the clinician who will be doing the procedure and the credentials of the facility where the procedure will be done.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Check how you will communicate with your clinician and carers before treatment","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"If you go to a country where you do not speak the language, determine ahead of time how you will communicate with your clinician and others who will be caring for you.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Check that the surgeon who consults with you is the same person who will carry out the procedure","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Check that the surgeon you consult with, will be the same person carrying out the procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Expect two consultations with the treating surgeon before any surgery, which also gives you time to reconsider","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"You should have 2 consultations with the surgeon treating you before any surgery.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Staff cannot communicate with you in a language you speak fluently","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"Receiving care at a facility where you do not speak the language fluently could lead to misunderstandings about your care.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Swollen throat or tongue with difficulty breathing","urgency":"emergency","general":false,"source":{"url":"https://www.nhs.uk/medicines/hydroxychloroquine/","host":"nhs.uk","quote":"an allergic reaction ( anaphylaxis ) – causing symptoms such as a swollen throat or tongue, a raised, itchy rash and difficulty breathing","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Blisters or peeling skin with high temperature","urgency":"emergency","general":false,"source":{"url":"https://www.nhs.uk/medicines/hydroxychloroquine/","host":"nhs.uk","quote":"severe skin reactions – causing symptoms such as spots, sores, blisters or peeling skin, as well as a high temperature and flu-like symptoms","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Constant blurred vision or color changes","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/medicines/hydroxychloroquine/","host":"nhs.uk","quote":"vision problems (hydroxychloroquine retinopathy) – causing symptoms like constant blurred vision, changes to how you see colours or being sensitive to light","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W4","text":"Yellowing of the skin or eyes","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/medicines/hydroxychloroquine/","host":"nhs.uk","quote":"liver problems – causing symptoms such as itchy skin, darker pee than normal, pale poo and yellowing of the skin or eyes (this may be harder to see on black or brown skin)","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T2","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-13","next_check_at":"2027-02-11"},"technique_details":{"status":"ok","items":[{"id":"hydroxychloroquine","name":"Hydroxychloroquine","how_it_works":{"text":"Calms the immune system or changes how it responds","source":{"url":"https://www.nhs.uk/medicines/hydroxychloroquine/","host":"nhs.uk","quote":"DMARDs work by calming your immune system or changing the way it responds.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"glucocorticoids","name":"Glucocorticoids","how_it_works":{"text":"Calms or controls the body's immune system","source":{"url":"https://www.nhs.uk/conditions/lupus/","host":"nhs.uk","quote":"They help to calm or control your body's immune system.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"immunosuppressants","name":"Immunosuppressants (methotrexate, azathioprine, mycophenolate)","how_it_works":{"text":"Calms or controls the body's immune system","source":{"url":"https://www.nhs.uk/conditions/lupus/","host":"nhs.uk","quote":"They help to calm or control your body's immune system.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"biologics","name":"Biologics (belimumab, anifrolumab)","how_it_works":{"text":"Calms or controls the body's immune system","source":{"url":"https://www.nhs.uk/conditions/lupus/","host":"nhs.uk","quote":"They help to calm or control your body's immune system.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=turkey/city=stambul/procedure=medikamentoznoe-lecenie-sistemnoj-krasnoj-volcanki/"}],"questionsAndAnswers":[],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"leadsCount":{"leads_count":6},"manualSeo":[],"updatedAt":"2026-11-12T11:15:33.000Z","activeCountries":["TR","AT","ES","TH"],"hasVideoReviewsByContext":false,"hasCriticalApiFallback":false}