Cai Xiaoyan, Rheumatology and Immunology, Guangzhou First People’s Hospital: SLE is a serious autoimmune disease that can cause internal organ damage and is life-threatening in severe cases, so it needs to be treated systematically and medicated under the guidance of a specialist. You have developed swelling and thoracic ascites, indicating that lupus nephritis is obviously active. It is impossible to control the disease with hormone therapy alone at this time, and you need to add immunosuppressive drugs, and it is recommended to go to the rheumatology and immunology department of a large hospital for treatment. Patient: Swelling, thoracoabdominal fluid, erythematous blisters all over the face and body, hot and spicy. The disease has been occurring for two to three years. Now I take 20 hormone pills every day, but the effect is not obvious. I would like to purchase medicine for treatment. Laboratory and examination results: platelets and albumin are low today. Last hospital visit: Liping County Hospital, Guizhou.