Can systemic lupus erythematosus be cured?

Written by Li Jing
Rheumatology
Updated on April 23, 2025
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Systemic lupus erythematosus is a multi-system damage and is an autoimmune disease that cannot be cured. It can only be managed with medications to control the condition, alleviate symptoms, delay complications, and thereby improve quality of life. This is the overall principle and goal in treating systemic lupus erythematosus. Once diagnosed with lupus, it is essential to classify the type and determine whether it is in an active phase to adopt appropriate treatment measures. The main treatments are corticosteroids and immunomodulators, with the dosage of corticosteroids varying according to the severity of the condition. (Specific medications should be used under the guidance of a doctor.)

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Written by Yang Ya Meng
Rheumatology
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Systemic Lupus Erythematosus Clinical Manifestations

The clinical manifestations of systemic lupus erythematosus are diverse and variable. The primary symptoms involve the bones, joints, and muscles, with joint pain being a common presentation. The second major area affected is the skin and mucous membranes, where the most common symptoms are symmetrical butterfly-shaped erythema and discoid erythema on the face. Some patients experience kidney involvement, primarily presenting as significant proteinuria, hematuria, and cylindrical urine. Pulmonary involvement is also common in some patients, often manifesting as pleurisy. The digestive system can also be affected, typically presenting as abdominal pain. The hematological system is a very common site of involvement in lupus, mainly indicated by routine blood tests showing decreases in white blood cells and platelets.

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Written by Yang Ya Meng
Rheumatology
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Is systemic lupus erythematosus serious?

Systemic lupus erythematosus (SLE) can vary in severity. The main criterion for determining whether it is mild or severe is to check whether SLE has involved important visceral organs, such as the lungs, the heart, and most commonly, the kidneys, as well as the most severe form, neuropsychiatric lupus. If a patient shows involvement of the aforementioned visceral systems, then lupus is considered to be relatively severe, and may sometimes even threaten the patient’s life. However, if lupus does not involve the visceral systems, it is considered to be mild.

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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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What is the best food to eat for systemic lupus erythematosus?

Firstly, systemic lupus erythematosus is an autoimmune disease that can affect multiple systems and organs and cannot be cured. It can only be managed through medications to control the progression of the disease and delay the onset of complications. Therefore, it's not about what food is good for lupus, but rather about managing any complications it may have. Some foods to avoid include tomatoes, bayberries, figs, celery, bananas, as well as other fruits and vegetables that have been exposed to prolonged sunlight. The general principle is to adopt a low-salt, low-fat diet while increasing the intake of high-quality proteins, primarily lean meats and pure milk, to boost resistance and immunity.

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Written by Yang Ya Meng
Rheumatology
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Can systemic lupus erythematosus be cured?

Systemic lupus erythematosus is difficult to cure completely as it is a chronic disease that requires long-term, lifelong medication. The most basic drugs used to treat systemic lupus erythematosus are corticosteroids. Hydroxychloroquine is also a basic treatment for systemic lupus erythematosus, but it is necessary to rule out contraindications such as retinal problems before use. Some patients with systemic lupus erythematosus, if they also have kidney or lung involvement, may need to consider treatment with immunosuppressants after using corticosteroids. Commonly used immunosuppressants include mycophenolate mofetil and cyclophosphamide. (Medication should be taken under the guidance of a physician.)