Lupus Facts
 
What is Lupus?
 
Lupus is a widespread and chronic (lifelong) autoimmune disease that, for unknown reasons, causes the immune system to attack the body's own tissue and organs, including the joints, kidneys, heart, lungs, brain, blood, or skin.
 
The immune system normally protects the body against viruses, bacteria, and other foreign materials. In an autoimmune disease like lupus, the immune system loses its ability to tell the difference between foreign substances and its own cells and tissue. The immune system then makes antibodies directed against "self."
 
Who Gets Lupus?
 
Approximately 1,500,000 Americans have a form of the disease.
 
Despite the fact that lupus can affect men and women of all ages, lupus occurs 10 to 15 times more frequently among adult females than adult males.
 
Lupus is two to three times more common among Native Hawaiians, Pacific Islanders, Asians, African Americans, Hispanics, Latinos and Native Americans.
 
Lupus develops most often between ages 15 and 44.

Types of Lupus

Discoid (cutaneous) lupus is always limited to the skin and is identified by a rash that may appear on the face, neck and scalp. Discoid lupus accounts for approximately 10% of all cases.

Systemic lupus is usually more severe than discoid lupus, and can affect the skin, joints, and almost any organ or system of the body, including the lungs, kidneys, heart or brain. Approximately 70% of lupus cases are systemic. In about half of these cases, a major organ will be affected.

Drug-induced lupus occurs after the use of certain prescribed drugs. The symptoms of drug-induced lupus are similar to systemic lupus. The drugs most commonly connected with drug-induced lupus are hydralazine (used to treat high blood pressure or hypertension) and procainamide (used to treat irregular heart rhythms). The percentage of individuals using these drugs who develop drug-induced lupus is extremely small, and the symptoms usually fade when the medications are discontinued. Drug-induced lupus

In approximately 10% of all lupus cases, individuals will have symptoms and signs of more than one connective tissue disease, including lupus. A physician may use the term "overlap syndrome" or "mixed connective tissue disease" to describe the illness.
 
 
Symptoms of Lupus
 
Achy joints (arthralgia)
 
Frequent fevers of more than 100 degrees F.
 
Arthritis (swollen joints)
 
Prolonged or extreme fatigue
 
Skin rashes
 
Anemia
 
Kidney involvement
 
Pain in the chest on deep breathing (pleurisy)
 
Butterfly-shaped rash across the cheek and nose
 
Sun or light sensitivity (photosensitivity)
 
Hair loss
 
Abnormal blood clotting problems
 
Raynaud's phenomenon (fingers turning white and/or blue in the cold)
 
Seizures
 
Mouth or nose ulcers
 
 

Symptoms of lupus often mimic other less serious illnesses.

Symptoms can range from mild to life-threatening.

Lupus can go into periods where symptoms are not present, called remission.


What causes lupus?

Lupus is NOT infectious, rare, or cancerous or AIDS

Researchers do not know what causes lupus.

While scientists believe there is a genetic predisposition to the disease, it is known that environmental factors also play a role in triggering the disease.

Some of the factors that may trigger lupus include infections, antibiotics, ultraviolet light, extreme stress, certain drugs, and hormones.

Hormonal factors may explain why lupus occurs more frequently in females than in males.

How is lupus diagnosed?

Because many lupus symptoms mimic other illnesses, are sometimes vague, and may come and go, lupus can be difficult to diagnose.
 
Diagnosis is usually made by a careful review of:
  • a person's entire medical history,
  • physical examination, coupled with
  • an analysis of the results obtained in routine laboratory tests and some specialized tests related to immune status.
Currently, there is no single laboratory test that can determine whether a person has lupus or not. It may take months or even years for doctors to piece together evolving symptoms and accurately diagnose lupus.
 
How is lupus treated?
 
For the vast majority of people with lupus, effective treatment can minimize symptoms, reduce inflammation, and maintain normal body functions.
  • Treatment approaches are based on the specific needs and symptoms of each person.
  • Because the characteristics and course of lupus may vary significantly among individuals, it is important to emphasize that a thorough medical evaluation and ongoing medical supervision are essential to ensure proper diagnosis and treatment.
  • Medications are often prescribed for people with lupus, depending on which organs are involved, and the severity of involvement.
  • Commonly prescribed medications include
    • nonsteroidal anti-inflammatory drugs (NSAIDs),
    • acetaminophen,
    • corticosteroids,
    • antimalarials, and
    • immunomodulating drugs.

Increased professional awareness and improved diagnostic techniques and evaluation methods are contributing to the early diagnosis and treatment of lupus. With current methods of therapy 80-90% of people with non-organ threatening lupus can look forward to a normal lifespan.