The article explains that plasmapheresis may be considered when lupus causes serious complications and standard immunosuppressive treatment has not provided enough control. Examples discussed include severe lupus nephritis and certain complications involving antiphospholipid antibodies. I appreciated that the article does not describe plasma exchange as something every lupus patient should undergo. The decision depends on the severity of the disease, the organs affected, the response to conventional treatment, and the individual clinical situation https://ways2well.com/blog/plasmapheresis-treatment-for-lupus-what-patients-need-to-know
