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<pre>
 
 

Version Date from Date to Amendment 

1.0 September 2014 September 2016 Original  

2.0 October 2018 October 2021 Clinical Content &amp; Resources 

 

OUTPATIENT GP REFERRAL GUIDELINES 
ALLERGY/CLINICAL IMMUNOLOGY SERVICE 

Southern Adelaide Local Health Network (SALHN) 
 

Systemic Autoimmune disorder (including SLE, Sjogren s syndrome, vasculitis) 
? Symptoms usually include constitutional features (fatigue, fever, malaise, arthralgia) with specific 

findings such as a vasculitic rash, dry eyes, dry mouth, Raynaud s phenomenon, rash, alopecia, 

synovitis, chest pain or breathlessness, recurrent mouth and/or genital ulcers, epistaxis 
 

? If dyspnoea, haemoptysis, haematuria, severe headache, weakness, high CRP &gt;50 ? seek URGENT 

opinion (see red flags). 

 

Information Required  

? Symptom profile, duration of symptoms. 

? Fever, weight loss. 

? Sicca symptoms if present. 

? Presence or absence of major organ 

involvement. 

? Previous treatments/medical opinions. 

 

Investigations Required  

? ANA (titre and pattern) 

? Anti-ENA antibodies 

? Anti-dsDNA antibodies 

? ANCA antibodies 

? CRP, ESR, C3, C4. 

? Rheumatoid factor, anti-CCP, FBC, U+E s, LFT s, 

CK, TSH. 

? IgG, A, M. 

? Urinalysis (spun sediment for red cell casts). 

Fax referrals to Allergy/Clinical Immunology Service - Fax: 08 8204 7483 
 

Red Flags 
 

Red flags should prompt immediate GP referral to Emergency Department 
 

 Evidence of major organ involvement   lung, kidney. 

 Fever, weight loss, very high inflammatory markers 

 Raynaud s leading to finger ulceration. 

 

Suggested GP Management 

? Symptomatic treatment with NSAIDs, ocular 
lubricants. 

? Contact Immunology registrar at FMC   pager 
18642 if urgent referral/advice needed. 

Clinical Resources 

https://www.gponline.com/diagnosis-cutaneous-

vasculitis/dermatology/article/1433770 

https://www.gponline.com/systemic-lupus-

erythematosus/article/741433 

https://www.gponline.com/interpreting-

rheumatology-tests/musculoskeletal-

disorders/article/782955 

General Information to assist with referrals and the Referral templates for FMC are available to download from 

the SALHN Outpatient Services website www.sahealth.sa.gov.au/SALHNoutpatients  










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