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Systemic lupus erythmatosis

Systemic lupus erythematosus
Synonyms Lupus
Lupusfoto.jpg
Young woman with the typical "butterfly rash" found in lupus
Pronunciation
Specialty Rheumatology
Symptoms Painful and swollen joints, fever, chest pain, hair loss, mouth ulcers, swollen lymph nodes, feeling tired, red rash
Usual onset 15–45 years of age
Duration Long term
Causes Unclear
Diagnostic method Based on symptoms and blood tests
Medication NSAIDs, corticosteroids, immunosuppressants, hydroxychloroquine, methotrexate
Prognosis 15 year survival ~80%
Frequency 2–7 per 10,000
Classification
External resources

Systemic lupus erythematosus (SLE), also known simply as lupus, is an autoimmune disease in which the body's immune system mistakenly attacks healthy tissue in many parts of the body. Symptoms vary between people and may be mild to severe. Common symptoms include painful and swollen joints, fever, chest pain, hair loss, mouth ulcers, swollen lymph nodes, feeling tired, and a red rash which is most commonly on the face. Often there are periods of illness, called flares, and periods of remission during which there are few symptoms.

The cause of SLE is not clear. It is thought to involve genetics together with environmental factors. Among identical twins, if one is affected there is a 24% chance the other one will be as well.Female sex hormones, sunlight, smoking, vitamin D deficiency, and certain infections, are also believed to increase the risk. The mechanism involves an immune response by autoantibodies against a person's own tissues. These are most commonly anti-nuclear antibodies and they result in inflammation. Diagnosis can be difficult and is based on a combination of symptoms and laboratory tests. There are a number of other kinds of lupus erythematosus including discoid lupus erythematosus, neonatal lupus, and subacute cutaneous lupus erythematosus.


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