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                    LUPUS
                    FACT SHEET
                    
                    
                      
                    What
                    is lupus? 
                     
                      
                    
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                         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. 
                        
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                         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." 
                        
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                    What
                    are the symptoms of lupus?
                    
                     
                    
                    
                    
                    
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                         Symptoms of lupus often
                        mimic other less serious illnesses.
                        
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                         Symptoms can range from
                        mild to life-threatening.
                        
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                         Lupus can go into
                        periods where symptoms are not present, called
                        remission.
                        
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                         Although lupus can
                        affect any part of the body, most people experience
                        symptoms in only a few organs.
                        
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                    The
                    following lists the most common symptoms of lupus:
                    
                     
                    ·       
                    Achy joints
                    
                     
                    ·       
                    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
                      
                    
                    
                     
                    What
                    are the different forms of lupus?
                      
                    
                    There are several forms of lupus: discoid, systemic,
                    drug-induced, and overlap syndrome or mixed connective
                    tissue disease. 
                    
                     
                    
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                         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. 
                        
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                         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. 
                        
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                         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 
                        
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                         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. 
                        
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                    Who
                    gets lupus?
                      
                    
                    It is difficult to determine an exact number of lupus cases,
                    and estimates vary widely. 
                    
                     
                    
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                         Based on the results of
                        several nationwide telephone surveys, the Lupus
                        Foundation of America estimates that approximately
                        1,400,000 Americans have a form of the disease. 
                        
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                         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. 
                        
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                         Lupus develops most
                        often between ages 15 and 44. 
                        
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                         Lupus is two to three
                        times more common among African Americans, Hispanics,
                        Asians, and Native Americans. 
                        
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                         Only 10 percent of
                        people with lupus will have a close relative (parent or
                        sibling) who already has lupus or may develop lupus. 
                        
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                         Only about 5 percent of
                        the children born to individuals with lupus will develop
                        the illness. 
                        
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                    What
                    causes lupus? 
                     
                    
                    
                     
                    
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                         Lupus is NOT
                        infectious, rare, or cancerous. 
                        
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                         Researchers do not know
                        what causes lupus. 
                        
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                         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. 
                        
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                         Some of the factors
                        that may trigger lupus include infections, antibiotics,
                        ultraviolet light, extreme stress, certain drugs, and
                        hormones. 
                        
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                         Hormonal factors may
                        explain why lupus occurs more frequently in females than
                        in males. 
                        
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                    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:
                    
                     
                    
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                         a person's entire
                        medical history, 
                        
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                         physical examination,
                        coupled with 
                        
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                         an analysis of the
                        results obtained in routine laboratory tests and some
                        specialized tests related to immune status. 
                        
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                    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 bodily functions. 
                    
                     
                    
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                         Treatment approaches
                        are based on the specific needs and symptoms of each
                        person. 
                        
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                         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. 
                        
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                         Medications are often
                        prescribed for people with lupus, depending on which
                        organs are involved, and the severity of involvement. 
                        
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                         Commonly prescribed
                        medications include 
                        
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                           nonsteroidal
                          anti-inflammatory drugs (NSAIDs), 
                          
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                           acetaminophen, 
                          
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                           corticosteroids, 
                          
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                           antimalarials, and 
                          
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                           immunomodulating
                          drugs. 
                          
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                    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 lupus can look forward to a
                    normal lifespan. 
                      
                    References:
                    
                     
                    2001
                    Lupus Foundation of America.
                    
                     
                    
                    
                    
                     
                    
                    
                     
                     
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                        Philadelphia
              Black Women's Health Project © 2002 
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