May 2009 - Lupus Awareness Month

In 2001 my wife diagnosed with Lupus. Our initialIn Latinos the figure is near one in five hundred.
reaction was to nod and try and look like we knewWhat doctors treat Lupus?
what the doctor was talking about, but quite simplyThis depends on your symptoms and severity;
we had heard about it, but never knew what it was.generally your GP will be able to treat you or let you
Once we arrived home we started to investigateknow which specialist to see. In sever cases a
what the disease was and became very scared asrheumatologist will control treatment. Others include
we read the words 'disease' and 'death'. However, ondermatologist, immunologist etc. It is important that
reading more, it became evident that Lupus is ayou make regular visits to the optician.
disease that can be controlled, doesn't often lead toDo all sufferers have the same symptoms?
death, but is certainly life changing.No, and this is why the disease is so hard to
What is Lupus?diagnose. The symptoms and severity will differ from
It is a long-lasing auto-immune disease. (As Autoone person to the next.
means self, autoimmune means the immune systemWhat is a 'flare'?
essentially attacks the body instead of fightingLupus can lie dormant (or in remission) for many
viruses and bad tissue.) The immune system isweeks or months only to flare up. Flares usually
hyperactive and for reasons unknown attacksindicate heightened disease activity.
healthy tissue. These attacks have wide-rangingCan Lupus symptoms change?
effects - see below for more details.Symptoms will vary from week to week, however it
What types of lupus are there? and what are theiris unlikely that the affected organ system will change
symptoms?Is lupus contagious?
Discoid (also known as Cutaneous lupus) affects theNo.
skin - the symptoms vary (depending on theIs there a cure for lupus?
severity) - skin rashes, photosensitivity (i.e. sensitiveNo, but there is a great deal of research going on
to sun), & sometimes mouth or nose ulcers.(especially with Genomes). The disease can be
Systemic attacks multiple systems in the bodycontrolled using medications
(generally more severe than Discoid) - the skin, joints,What are the treatments for Lupus?
blood, lungs, kidneys, heart, brain & nervousAs many of the symptoms are due to inflammation
system - the symptoms vary (again the symptomsthe general treatment aims to control and reduce the
will vary depending on severity) - Arthritis, muscleinflammation. The general drugs used are Nonsteroidal
pain and weakness, fatigue, sun-sensitivity, hair loss, aanti-inflammatory drugs (NSAIDs), corticosteroids,
rash across the nose and cheeks, fever, anemia,antimalarials, & cytotoxic drugs (chemotherapy).
headaches, recurrent miscarriages.I am not qualified to go into any real detail on each
Can Discoid evolve into Systemic?of these drugs.
Yes - about 10% of the cases of Discoid will evolveIs there a connection between lupus & allergies?
into Systemic (it is advisable to get blood testsAllergies produce specific antibodies to substances
annually).(e.g. pollen, grass, smoke etc). Lupus sufferers are
What Causes Lupus?often sensitive to the same substances.
No-one really knows. There are probably variousIs lupus fatal?
factors ranging from your genes to certain triggersThe majority of people (90%) with the disease WILL
(such as environment or stress) Other triggers includeLIVE A NORMAL life span. This is due to the fact
Ultraviolet light, certain prescription drugs &that detection of Lupus has improved over the last
antibiotics, infections or viruses, hormones (manytwenty years and medication is able to control the
women undergoing 'changes' suffer from Lupus.disease.
Is Lupus hereditary?What are the most common causes of death with
Although it isn't proven, there is a high probability thatLupus?
it is hereditary.Generally the two major causes of death are kidney
How Common is Lupus?failure and overwhelming infection.
The disease occurs more in some ethnic groups inAre people with lupus more likely to develop cancer?
others.There is no link between Lupus and cancer; however
In Caucasians the figure is about one in a thousand.those receiving certain chemotherapy drugs as
In Africa-Americans the figure is closer to one in twotreatment do have a higher risk of developing cancer.
hundred and fifty.