{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T21:04:25Z","timestamp":1777928665766,"version":"3.51.4"},"reference-count":25,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2017,3,9]],"date-time":"2017-03-09T00:00:00Z","timestamp":1489017600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Lupus"],"published-print":{"date-parts":[[2017,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Systemic lupus erythematosus (SLE) can present with a variety of symptoms. Previous research has shown there is a high prevalence of lower limb and foot problems in patients with SLE associated with the musculoskeletal, vascular and neurological changes. Furthermore, there is a high prevalence of infections affecting the feet and a range of common skin and nail problems. However, it is not known how these foot problems impact upon people\u2019s lives. Therefore, we aimed to explore this using a qualitative approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Following ethical approval, 12 participants were recruited who had a diagnosis of SLE, current and\/or past experience of foot problems and were over 18 years in age. Following consent, interviews were carried out with an interpretivist phenomenological approach to both data collection and analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Seven themes provide insight into: foot problems and symptoms; the impact of these foot problems and symptoms on activities; disclosure and diagnosis of foot problems; treatment of foot problems and symptoms; perceived barriers to professional footcare; unanswered questions about feet and footcare; and identification of the need for professional footcare and footcare advice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>These participants tend to \u201cself-treat\u201d rather than disclose that they may need professional footcare. A lack of focus upon foot health within a medical consultation is attributed to the participant\u2019s belief that it is not within the doctor\u2019s role, even though it is noted to contribute to reduced daily activity. There is a need for feet to be included as a part of patient monitoring and for foot health management to be made accessible for people with SLE.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0961203317696590","type":"journal-article","created":{"date-parts":[[2017,3,9]],"date-time":"2017-03-09T23:46:11Z","timestamp":1489103171000},"page":"1174-1181","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":16,"title":["Patients\u2019 experiences of lupus-related foot problems: a qualitative investigation"],"prefix":"10.1177","volume":"26","author":[{"given":"A E","family":"Williams","sequence":"first","affiliation":[{"name":"School of Health Sciences, University of Salford, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Blake","sequence":"additional","affiliation":[{"name":"Private podiatrist, Dorset, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L","family":"Cherry","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences, University of Southampton, UK"},{"name":"Department of Podiatry, Solent NHS Trust, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B","family":"Alcacer-Pitarch","sequence":"additional","affiliation":[{"name":"NIHR Leeds Biomedical Research Unit, Leeds Teaching Hospitals NHS Trust and Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C J","family":"Edwards","sequence":"additional","affiliation":[{"name":"NIHR Wellcome Trust Clinical Research Facility, University Hospital Southampton NHS Foundation Trust, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N","family":"Hopkinson","sequence":"additional","affiliation":[{"name":"Department of Rheumatology, Royal Bournemouth\/Christchurch Hospitals NHS Foundation Trust, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E M J","family":"Vital","sequence":"additional","affiliation":[{"name":"NIHR Leeds Biomedical Research Unit, Leeds Teaching Hospitals NHS Trust and Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L S","family":"Teh","sequence":"additional","affiliation":[{"name":"Department of Rheumatology, Royal Blackburn Hospital, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2017,3,9]]},"reference":[{"key":"bibr1-0961203317696590","doi-asserted-by":"publisher","DOI":"10.1002\/art.34473"},{"key":"bibr2-0961203317696590","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-015-3670-y"},{"key":"bibr3-0961203317696590","doi-asserted-by":"publisher","DOI":"10.1186\/s13047-016-0158-1"},{"key":"bibr4-0961203317696590","doi-asserted-by":"publisher","DOI":"10.1177\/0961203307081123"},{"key":"bibr5-0961203317696590","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(05)72227-3"},{"key":"bibr6-0961203317696590","doi-asserted-by":"publisher","DOI":"10.1186\/s13047-016-0143-8"},{"key":"bibr7-0961203317696590","doi-asserted-by":"publisher","DOI":"10.1177\/0961203313498805"},{"key":"bibr8-0961203317696590","doi-asserted-by":"crossref","unstructured":"Cherry L, Alcacer-Pitarch B, Hopkinson N, Teh LS, Vital EM, Edwards CJ, et\u00a0al. The prevalence of self-reported lower limb and foot health problems experienced by participants with systemic lupus erythematosus: Results of a UK national survey.\n                      Lupus\n                      2016 Sep 29. pii: 0961203316670730. 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Available at: www.arma.uk.net\/pdfs\/ctdweb.pdf (2004, accessed 11 January 2015)."},{"key":"bibr18-0961203317696590","doi-asserted-by":"publisher","DOI":"10.1111\/1467-9566.12024"},{"key":"bibr19-0961203317696590","doi-asserted-by":"publisher","DOI":"10.1002\/msc.200"},{"key":"bibr20-0961203317696590","doi-asserted-by":"publisher","DOI":"10.1186\/s13047-015-0071-z"},{"key":"bibr21-0961203317696590","doi-asserted-by":"publisher","DOI":"10.1186\/1757-1146-6-23"},{"key":"bibr22-0961203317696590","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/kei205"},{"key":"bibr23-0961203317696590","doi-asserted-by":"publisher","DOI":"10.1007\/s10067-006-0225-2"},{"key":"bibr24-0961203317696590","doi-asserted-by":"publisher","DOI":"10.1002\/msc.1111"},{"key":"bibr25-0961203317696590","unstructured":"NICE. Guidance for the management of rheumatoid arthritis in adults. 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