Does systemic lupus erythematosus affect pregnancy?

Written by Yang Ya Meng
Rheumatology
Updated on June 24, 2025
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Patients with systemic lupus erythematosus (SLE) can be significantly affected during pregnancy, with some female patients experiencing recurrent miscarriages. These recurrent miscarriages are sometimes associated with antiphospholipid antibody syndrome secondary to lupus, as these patients test positive for anticardiolipin antibodies and lupus anticoagulant, leading to repeated miscarriages. Additionally, patients with systemic lupus erythematosus are particularly prone to triggering disease activity in the six weeks before and after pregnancy, presenting symptoms such as fever, joint pain, and even renal disorders, which leads to the activity of lupus itself, thus preventing the continuation of the pregnancy.

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Written by Li Jing
Rheumatology
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What should be noted for systemic lupus erythematosus?

Systemic lupus erythematosus is an autoimmune disease and a chronic disease that damages multiple systems. It cannot be cured, only controlled by medication to manage symptoms, delay complications, and reduce mortality; these are the primary treatment goals. Therefore, during treatment, several aspects must be carefully considered: First, avoid prolonged sun exposure, chemical irritants, being overly cold or fatigued, as these can trigger the condition. Women should also avoid taking oral contraceptives. Second, do not be misled by advertisements and promotions; always seek treatment in reputable hospitals to prevent complications. Third, during treatment, always keep in contact with your attending physician. Do not adjust or reduce your medication on your own, as this can exacerbate the disease and greatly increase the risk of relapse.

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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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Systemic Lupus Erythematosus Nursing Measures

Systemic lupus erythematosus is an autoimmune disease that cannot be cured. It can only be managed with medications to control the progression of the disease, prevent relapses, and delay the onset of complications, which is the main purpose of treatment. The primary treatment options are corticosteroids and immunomodulators. Their main side effects include increased risk of infection and lowered immunity. Therefore, during routine care, it is essential to pay attention to personal hygiene, especially respiratory and urinary tract cleanliness, frequently change clothes, bathe regularly, prevent skin infections, and wear masks in crowded or public places. Additionally, it is important to avoid excessive sun exposure and engage in appropriate exercise to enhance immunity. (Note: Medications should be used under the guidance of a doctor.)

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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 Yang Ya Meng
Rheumatology
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What should be noted about systemic lupus erythematosus?

Patients with lupus should be cautious about several lifestyle factors. First, they should avoid prolonged exposure to the sun, as ultraviolet rays can potentially trigger the activity of lupus. Second, they should not overexert themselves, as fatigue can also lead to an exacerbation of lupus symptoms. Third, they must strictly avoid infections. Due to the long-term use of corticosteroids and immunosuppressants, lupus patients have reduced immunity, and even a minor infection can become uncontrollable. For lupus patients, lifelong medication is crucial. Commonly used medications include corticosteroids and hydroxychloroquine. If the patient's visceral systems are involved, immunosuppressants may also be required. Additionally, patients should consistently attend regular check-ups at the rheumatology clinic. (Specific medication use should be conducted under the guidance of a doctor.)