Initial symptoms of systemic lupus erythematosus

Written by Li Jing
Rheumatology
Updated on September 06, 2024
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Systemic lupus erythematosus is an autoimmune disease that affects multiple systems and organs and is associated with a variety of autoimmune antibodies, primarily occurring in women of childbearing age. Its clinical manifestations are diverse, with the condition being mild and recurrently evolving. The most common symptoms involve changes to the skin, where various types of edematous erythema can occur, and in severe cases, there can be blisters, ulcers, erosion, skin atrophy, hyperpigmentation, and scar formation. Among these, the butterfly rash is most specific. Additionally, other symptoms may include joint swelling and pain; kidney involvement can lead to foamy urine, which is a common presentation; gastrointestinal involvement can cause diarrhea, and neurological involvement can lead to mental disorders and seizures. Therefore, once facial rashes, photosensitivity, or joint swelling and pain occur, it is crucial to be vigilant, undergo relevant examinations promptly, diagnose early, and treat early, as it is very important for the prognosis of the disease.

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Written by Li Jing
Rheumatology
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Can people with systemic lupus erythematosus eat black fungus?

Systemic lupus erythematosus is an autoimmune disease that affects multiple systems and organs. It cannot be cured and can only be managed through medications to control the progression of the disease and delay complications. It commonly occurs in women of childbearing age. In the early stages, when no other organs are damaged, there are no special dietary restrictions and black fungus can be eaten. However, fruits such as figs and bayberries, which are exposed to ultraviolet light for a long period, should be avoided. If the disease affects the kidneys causing damage such as proteinuria and increased creatinine, a diet low in salt, fat, and restricted in high-quality protein is necessary. High-quality protein mainly refers to lean meats and pure milk, and consumption of black fungus should be moderated.

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Written by Li Jing
Rheumatology
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Early symptoms of systemic lupus erythematosus

Systemic lupus erythematosus is a chronic autoimmune disease causing multi-system damage, with clinical presentations that vary greatly between individuals. Most cases begin gradually, but some can onset abruptly, meaning severe complications that can threaten life can emerge within weeks or days. Early symptoms are often atypical. During active phases, most patients with systemic lupus erythematosus experience varying degrees of low-grade fever, with low to moderate fevers being most common. The primary manifestations include erythema of the skin and mucous membranes, and some individuals may experience photosensitivity, which results in a facial rash after exposure to sunlight. This is one of the most common clinical presentations.

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Written by Li Jing
Rheumatology
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Can people with systemic lupus erythematosus drink alcohol?

Systemic lupus erythematosus is a chronic systemic autoimmune disease that cannot be cured. It can only be managed with medication to control the progression of the disease, reduce recurrence, delay complications, and decrease mortality and self-harm rates. These are the main treatment objectives. Patients with systemic lupus erythematosus should avoid sun exposure and, for women, the use of oral contraceptives. It is also important to avoid overwork and staying up late. Patients are generally advised to quit smoking and drinking alcohol. Therefore, patients with systemic lupus erythematosus should not consume alcohol, especially during treatment, to avoid adverse reactions with medications.

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Written by Yang Ya Meng
Rheumatology
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What causes systemic lupus erythematosus?

Systemic lupus erythematosus mainly has four major causes: The first is related to the environment. Long-term exposure to sunlight, or living in a humid environment, may trigger the onset of systemic lupus erythematosus. Secondly, there is a certain genetic predisposition to systemic lupus erythematosus. If the parents have systemic lupus erythematosus, the probability of their offspring developing the disease is higher. Thirdly, systemic lupus erythematosus is also related to estrogen, which is why, clinically, lupus is more commonly seen in women of childbearing age and less often in men. Systemic lupus erythematosus is also associated with some specific infections, such as bacterial or viral infections, which may trigger a lupus flare-up.

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Written by Li Jing
Rheumatology
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Can systemic lupus erythematosus become pregnant?

Firstly, systemic lupus erythematosus is a multisystemic, systemic autoimmune disease that can involve multiple organs throughout the body. Regarding the issue of whether one with systemic lupus erythematosus can become pregnant, it cannot be generalized and must be considered in conjunction with the condition of the disease. For example, if the disease is in its early stages and has been stabilized through treatment, then it is possible to become pregnant. If systemic lupus erythematosus has already presented with severe complications, such as lupus nephritis, significant proteinuria, or an increase in creatinine urea, affecting kidney function and causing kidney damage, then it is not recommended to become pregnant during this period. Pregnancy at this time not only offers no substantial benefit to the person with systemic lupus erythematosus but can also increase the burden on the kidneys, leading to further deterioration of kidney function, which can be life-threatening.