Frequently Asked Questions about Lupus
What is Lupus?
Unlike with HIV/AIDS where the body’s immune system is deficient, with Lupus, the immune system is overactive. It turns against the body and attacks healthy tissues, causing inflammation, pain and damage in any part of the body from skin and to vital internal organs. Lupus is not contagious.
Read more about What Lupus Is and Isn’t.
What are the Symptoms of Lupus?
No two cases of lupus are the same and symptoms can come and go (flares and remissions) or change suddenly. However, the most commonly experienced symptoms are:
- Extreme Fatigue
- Joint Pain
- Unexplained fevers
- Rashes including the “Butterfly Rash” across the face
Read more about the Symptoms of Lupus
Is there a cure for lupus?
There is no cure for lupus yet. But with proper medical care most patients are able to live successfully with their disease.
Is Lupus Contagious?
Lupus is neither contagious, nor infectious.
Can discoid lupus turn into systemic lupus?
In approximately 10% of discoid lupus cases, it evolves & develops into systemic lupus, but can neither be prevented nor predicted.
Is there a test for detecting Lupus?
There is no single test that can determine whether a person has lupus, but several laboratory tests may help the physician confirm a diagnosis or rule out other causes for symptoms. The most useful tests identify certain autoantibodies often present in the blood of people with lupus. For example, the antinuclear antibody (ANA) test is commonly used to look for autoantibodies that react against components of the nucleus, or “command center,” of the body’s cells.
Read more about How to Diagnose Lupus
What is a flare and What is a Remission
A flare is a sudden change in disorder activity, indicating that the disorder has become active. A patient may experience sudden weakness, fatigue, prolonged fever, achy joints, and more.
A remission is a period of disorder-free activity. Certain cases of lupus have become permanently inactive, or in total remission. Total remission is rare, but partial remission (a definite period of time with no disorder activity) is more common.
Read more about Lupus Flares and Remissions
How long will a flare last?
There is no sure way of knowing how long a flare will last. This is why being aware of Lupus and its symptoms is very important to bring the disorder under control a lot sooner.
What are some signs of a flare and can I prevent them?
A “flare” is a sudden change in disease activity. Lupus is unpredictable and patients often suffer flares, or active symptoms of the disease, followed by periods of remission (some doctors prefer to use the term “quiescence,” which means a quiet period). For those who have not been diagnosed with lupus, this continued recurrence of symptoms might be the first clue that lupus is the cause.
Lupus flares can be classified as mild, moderate or severe. An example of a milder flare might be the appearance of a rash. A very severe flare could cause fluid collection around the heart or even kidney failure.
What causes a flare is almost as unpredictable as when the flare will occur. There is no definitive way to predict when a flare will happen, how bad it will be, or how long it will last. When you have a lupus flare, you may have different symptoms than those you have had in the past.
You may find that your symptoms flare after you’ve been out in the sun and exposed to ultraviolet light, after a hard day at work or if you have not gotten enough rest. Stress, certain medications, infections, medication changes and even pregnancy can trigger flares in lupus patients.
Even if you take medicine for lupus, you may find that there are times when the symptoms become worse. If possible, learning to recognize when a flare is coming can help you take steps to cope with it.
Early signs of a flare in some individuals with lupus may include:
• Increased fatigue
• A new or higher fever
• Increased pain
• Development or worsening of a rash
• Development of new symptoms
• Swollen joints
The best way to manage lupus and avoid flares is to listen to your body, learn what your personal triggers and early warning signs are, and talk with your physician about them. If you think a flare is starting, it’s best to see your physician as soon as possible.
Is lupus like AIDS?
No. In AIDS, the immune system is underactive, but in lupus it is overactive. HIV (which can lead to AIDS) is contagious, lupus is not.
Is Lupus like cancer?
Lupus is not like cancer. Cancer is a condition of malignant, abnormal tissues that grow rapidly and spread into surrounding tissues. Lupus is an autoimmune disorder.
Are people with lupus more likely to develop cancer?
People with lupus are no more likely to develop cancer than people in the general population.
Can a woman with Lupus have a baby?
In many cases women with lupus can conceive and deliver a child. It should be a carefully planned pregnancy and there should be proper medical care. Lupus should be in remission for at least six months prior to conception. Also, the hospital where the patient is planning to deliver should be aware & prepared to deal with a high-risk pregnancy.
Who Gets Lupus?
While lupus can occur at any age and in either sex, 90 percent of those living with lupus are female. Women are often diagnosed during the childbearing years, between the ages of 15 and 45. African Americans, Latinos, Asians and Native Americans have a higher risk for lupus. However, it can affect any ethnic group.
Although 10 percent of those with lupus are male, there is little information about why men get lupus. Some studies have found that after the age of 50, the percentage of women with lupus falls to 75 percent and the percentage of men with lupus increases to 25 percent.
Lupus can also affect children. It usually occurs at the age of 15 and older, however it can be diagnosed at any age. Children with lupus can have a large degree of kidney involvement. Severity of kidney involvement can alter the survival rate of patients with lupus.
In rare cases, the newborn of a mom with lupus may have neonatal lupus. This condition can cause skin rashes, anemia or liver problems. Symptoms usually go away after a few months and don’t cause permanent damage. Some babies with neonatal lupus can be born with a serious heart defect. About 5 percent of the children born to individuals with lupus will develop the illness.
Read more Facts about Lupus and Who Gets It
What Causes Lupus?
While the cause is unknown, scientists suspect that individuals are genetically predisposed to lupus, and the disease remains quiet until a trigger sets the disease process in motion. Some outside environmental factor(s) create the right conditions for the disease to become active. The conditions that trigger lupus vary from person to person.
Only 10 percent of those with lupus will have a close relative (parent or sibling) who already has or may develop lupus. The chance increases to 50 percent if you have an identical twin with lupus. About 5 percent of the children born to individuals with lupus will develop the illness.
Read more about the Causes of Lupus
Why is lupus so difficult to diagnosis?
There is no single diagnostic test for lupus. It can often take years for a diagnosis to be made because lupus may affect many systems within the body and many symptoms of lupus are similar to those of other diseases.
Systemic lupus is also difficult to diagnose because it is a disease that does not typically develop rapidly, but rather develops slowly and evolves over time. Symptoms or flares, which would lead to a specific diagnosis, may not appear all at once and can occur in different parts of the body over weeks, months or even years.
Making a correct diagnosis of lupus requires knowledge, awareness and good communication between you and your physician. An accurate medical history (for example, what symptoms you have had and for how long) is critical to the process. This information is combined with results of physical examinations and laboratory tests to lead to a diagnosis.
Where can I find more information online?
Lupus Research Institute
The Lupus Research Institute is the nation’s only nonprofit organization solely dedicated to novel research in lupus.
Could I Have Lupus?
This website, by the National Women’s Health Information Center, is part of a campaign designed to heighten awareness and create a sense of urgency about lupus.
The Lupus Initiative
The Lupus Initiative is committed to eliminating health disparities in lupus.
American College of Rheumatology, Systemic Lupus Erythematosus (SLE)
This site offers an extensive overview of the disease, it’s treatment and management, as well as helpful illustrations.