Can lupus be inherited?

Written by Zhang Lin
Rheumatology and Immunology Nephrology
Updated on September 28, 2024
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Lupus erythematosus is not a genetic disease, but it is a disease with a genetic predisposition. This means that genetic diseases refer to monogenic diseases, including albinism, color blindness, etc., which are determined by a pair of alleles. However, lupus erythematosus is a disease with a genetic predisposition, determined by multiple genes. Although lupus erythematosus is not a genetic disease, if your parents have lupus erythematosus, the chance of the next generation developing lupus erythematosus is about 1% to 16%. This relationship is especially significant between mothers and daughters, and among sisters. Genetic factors account for approximately 20% of the importance in the development of lupus erythematosus. Only the combination of genetic factors and environmental factors together can lead to the occurrence of lupus erythematosus.

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Written by Zhang Lin
Rheumatology and Immunology Nephrology
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Can lupus be cured?

Lupus erythematosus currently has no cure in clinical practice. However, an early diagnosis and treatment can significantly prolong the life expectancy of patients. Compared to the past, with standardized and effective individualized treatments, the 5-year survival rate can reach 95%, and the 10-year survival rate can reach 84%. However, the cause of lupus erythematosus is unclear, and no method can completely cure the disease. It is important to emphasize that there are already some medications available clinically that can alleviate the symptoms, allowing patients to live normal lives and work normally. Additionally, it is crucial not to resort to desperate measures by seeking random treatments or believing in folk remedies and secret family recipes shared by others. Such actions can not only delay proper treatment and waste money but also worsen the condition due to unclear formulations.

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Written by Zhang Lin
Rheumatology and Immunology Nephrology
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What should I do if lupus causes hair loss?

What should be done when a lupus patient experiences hair loss? Patients with lupus should keep their hair clean in daily life, not use too much shampoo when washing their hair, avoid dyeing or perming their hair, and reduce the damage to hair from chemical products. This prevents rashes or worsening rashes caused by allergies to hair dyes and damage to hair quality from perming. If hair loss occurs due to the effect of medications, patients can choose to wear a wig during treatment. After chemotherapy ends, new hair will grow, so patients need not worry excessively. Maintaining a pleasant mood is also quite important for recovery from the disease. The basic pathological change in lupus patients is vasculitis. When the small blood vessels in the skin become inflamed, the nutrient supply to the hair follicles is disrupted, which can easily lead to hair loss and affect hair growth. Generally, hair can regrow after the disease is controlled. If hair loss occurs again, it could be a symptom of a disease relapse.

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Written by Liu Li Ning
Rheumatology
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Can early lupus nephritis be cured?

Early stage lupus nephritis does not have a cure. Some patients can achieve clinical remission by strictly adhering to a certain medication. Systemic lupus erythematosus can involve multiple systems and organs throughout the body. The kidneys are one of the most commonly affected target organs. Research shows that if systemic lupus erythematosus is diagnosed, performing a kidney biopsy will reveal lupus nephritis in almost 100% of the cases. The main treatment for lupus nephritis involves long-term maintenance with corticosteroids and immunosuppressants. Commonly used immunosuppressants include cyclophosphamide, mycophenolate mofetil, cyclosporine, azathioprine, and tacrolimus.

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Written by Liu Li Ning
Rheumatology
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What does early lupus erythematosus look like?

In the early stages of lupus erythematosus, symptoms such as fever, rash, joint pain, oral ulcers, and hair loss may occur. Lupus erythematosus is a heterogeneous disease that can present a variety of clinical symptoms. This disease can affect multiple systems and organs throughout the body, leading to different clinical manifestations depending on the target organ involved. For example, patients with pulmonary interstitial fibrosis may experience chest tightness, shortness of breath, and difficulty breathing; if the heart is affected, significant pericardial effusion may occur, possibly leading to difficulty breathing. The specific pathogenesis of systemic lupus erythematosus is still unclear. It is more commonly seen in females. Therefore, there is currently no specific cure for systemic lupus erythematosus, and the treatment mainly involves long-term maintenance with corticosteroids and immunosuppressants.

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Written by Liu Li Ning
Rheumatology
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How long will the skin itch in the early stages of lupus erythematosus?

The duration of itching in the early stages of lupus erythematosus is not fixed. It is not certain that early-stage lupus erythematosus will cause itching. Some patients may experience itching, which can subside on its own, but it tends to recur. Additionally, some patients may have itching due to allergies, which can result in rashes accompanied by itching. It is possible to check immunoglobulin E to see if there are any allergic factors present. If allergies are involved, treatment can include antihistamines or corticosteroids, or topical calamine lotion can be used to relieve symptoms. Besides affecting the skin, early-stage lupus erythematosus can also cause symptoms such as oral ulcers and arthritis in many patients.