Lupus
Lupus, or systemic lupus erythematosus (SLE), is a chronic autoimmune disease in which the immune system mistakenly attacks healthy tissue throughout the body. It can affect the skin, joints, kidneys, brain, heart, lungs, and blood cells. Lupus is characterized by periods of illness (flares) and periods of remission, and its symptoms can range from mild to life-threatening.
Symptoms
Fatigue, joint pain and swelling, a butterfly-shaped rash across the cheeks and bridge of the nose, skin lesions that worsen with sun exposure, fever, chest pain, shortness of breath, dry eyes, hair loss, mouth ulcers, swollen lymph nodes, sensitivity to sunlight, and in severe cases, kidney inflammation, neurological symptoms, or blood disorders.
Treatments
There is no cure for lupus, but it can be managed. Treatment depends on the organs affected and severity. Options include NSAIDs for joint pain and inflammation, antimalarial drugs (hydroxychloroquine) as a cornerstone of treatment, corticosteroids for flares, immunosuppressants (methotrexate, mycophenolate, cyclophosphamide, azathioprine), biologics (belimumab, anifrolumab), and lifestyle measures such as sun protection, stress management, and regular exercise.
Risk Factors
Being female (9 out of 10 cases occur in women), ages 15–45, African American, Hispanic/Latina, Asian American, or Native American heritage, family history of lupus or other autoimmune diseases, and exposure to certain medications, infections, or sunlight that may trigger flares.
Prevalence
An estimated 1.5 million Americans and at least 5 million people worldwide have lupus. It most commonly develops between the ages of 15 and 45, and women of color are two to three times more likely to develop the disease than Caucasian women.
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