| Lupus Info & Research |
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Fast Facts |
| What is Lupus? |
Lupus is a chronic, inflammatory disease in which the body's immune system fails to serve its normal protective functions and instead forms antibodies that attack healthy tissues and organs. You can think of it as your body being allergic to itself. |
| What Causes Lupus? |
The cause of lupus is unknown. While scientists believe there is a genetic predisposition to the disease, it is known that certain factors also play a critical role in triggering lupus. In a patient who is predisposed, the following factors may play a role in setting off the disease: |
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Infections |
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Antibiotics (especially those in the sulfa group) or certain other medications |
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Pregnancy |
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Ultraviolet light |
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Extreme stress |
| Who Gets Lupus? |
Between 1.4 and 2 million people have been told by a doctor they have lupus, making it more common than AIDS, cerebral palsy, multiple sclerosis, sickle-cell anemia and cystic fibrosis combined. |
Lupus can occur at any age and in either sex, although it appears at least 10 times more frequently among adult females than among adult males. The symptoms of the disease are the same in men and women. People of Hispanic, African, Native American and Asian origin are thought to develop lupus more frequently than Caucasians. |
| Types of Lupus |
There are three types of lupus: cutaneous, systemic and drug-induced lupus. |
Cutaneous lupus is limited to the skin and is identified by a rash that may appear on the face, neck or scalp. Sometimes lupus first appears only in the skin but goes on to become systemic (throughout the body). |
Systemic lupus is usually more severe than cutaneous lupus and can affect almost any organ or system of the body. The skin, joints, lungs, kidneys, brain, blood or other organs and tissues may be affected. Generally, no two people with lupus will have identical symptoms. Lupus may include periods in which few, if any, symptoms are evident (remission) and other times in which the disease becomes active (flare). is usually more severe than cutaneous lupus and can affect almost any organ or system of the body. The skin, joints, lungs, kidneys, brain, blood or other organs and tissues may be affected. Generally, no two people with lupus will have identical symptoms. Lupus may include periods in which few, if any, symptoms are evident (remission) and other times in which the disease becomes active (flare). |
| Certain prescribed drugs can create a lupus-like syndrome called drug-induced lupus, which is similar to systemic lupus. The drugs most commonly connected with drug-induced lupus are: hydralazine (used to treat hypertension) and procainamide (used to treat irregular heart rhythms). Not everyone who takes these drugs will develop drug-induced lupus. When these medications are discontinued, the symptoms of lupus usually fade. |
| Diagnosis |
Lupus is a difficult disease to diagnose. There is no single set of symptoms that are uniformly specific to lupus. Also, there are no laboratory tests yet available that can prove conclusively that a person has lupus. Almost every symptom of lupus can also be easily attributed to other illnesses or disorders. In addition, the symptoms are sometimes vague or they may come and go unpredictably. |
| The recent presence of four or more of the following symptoms is necessary to consider a diagnosis of lupus: |
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Joint pain |
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Extreme fatigue |
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Fever of unknown origin |
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A rash over the cheeks and bridge of the nose |
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Ulcers inside the mouth and/or nose |
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Weakness |
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Sun sensitivity |
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Raynaud's phenomenon (fingers turning white and/or blue in the cold) |
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Pleurisy |
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Anemia |
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Seizures |
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Excessive protein in the urine |
The diagnosis of lupus is usually made after a careful review of the patient's medical history, coupled with analysis of blood study results from both routine laboratory testing and some specialized tests related to immune system status. Often it can take years for the diagnosis to be made. The internist and/or family physician will often refer patients to a rheumatologist for diagnostic confirmation and treatment. |
| Treatment |
While there is no cure for lupus, early diagnosis and proper medical treatment can significantly help control the disease. Effective treatment can minimize symptoms, reduce inflammation and maintain normal bodily functions. Treatment is centered on medications, rest, exercise, avoidance of excessive sun exposure, reduction of stress and prevention of infection. |
| There are a number of medications commonly prescribed for the treatment of lupus. Aspirin is often prescribed as a pain killer and an anti-inflammatory drug. It is usually recommended for muscle and joint pain, and arthritis. Another group of drugs commonly prescribed is nonsteroidal anti-inflammatory drugs (NSAIDS). These drugs act in the same way as aspirin. However, they tend to be less irritating to the stomach and fewer pills per day need to be taken. |
| Drugs used for the treatment of malaria, such as Plaquenil, benefit many people with lupus and are now prescribed for skin and joint symptoms. These drugs are unique in that they often take months before demonstrating a beneficial effect. |
Corticosteroids are potent anti-inflammatory drugs. The most commonly prescribed is prednisone. This medication will reduce inflammation and is used to treat the kidneys, lungs, nervous system and blood.50 |
| For patients with more serious manifestations of lupus, immunosuppressives are prescribed. These drugs act in a similar manner to corticosteroids, in that they suppress inflammation and the immune system. Their use is often associated with side effects, including anemia, low white blood cell count, and increased risk of infection. |
The outlook for lupus patients has significantly improved over the last two decades. With continued and expanded research, there is great promise toward discovering a cause and cure. |
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