What causes systemic lupus erythematosus?

Written by Yang Ya Meng
Rheumatology
Updated on October 25, 2024
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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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Systemic lupus erythematosus is not contagious.

Systemic lupus erythematosus is a chronic autoimmune disease that can damage multiple systems and affect multiple organs. Its occurrence is related to genetics, environmental pollution, hormonal levels, and infections. It is classified as an autoimmune disease and is not infectious or contagious. Once diagnosed with systemic lupus erythematosus, it is important to thoroughly complete related examinations and assess the activity level of the disease, as treatment plans vary accordingly. Therefore, for patients with systemic lupus erythematosus, there is no need to worry about it being contagious. However, there is a hereditary tendency, meaning if the parents have it, the likelihood of their children developing the disease is significantly higher than others.

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Written by Yang Ya Meng
Rheumatology
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What to do if systemic lupus erythematosus causes a fever?

Patients with systemic lupus erythematosus (SLE) who develop a fever first need to discern whether the fever is due to immune-related fever caused by the activity of the disease or an infectious fever due to weakened immunity from long-term use of steroids and immunosuppressants. If the fever is caused by lupus activity, then it is necessary to increase the dosage of corticosteroids in treatment. If the fever is due to an infection, a full course of anti-infection treatment is needed. The anti-infection regimen may even need to include treatments with antibacterial, antifungal, and antiviral medications. (Please follow professional medical advice for medication use, and do not self-medicate.)

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Written by Li Jing
Rheumatology
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Systemic Lupus Erythematosus Test Items

First, if there are symptoms such as facial erythema, butterfly rash, joint pain, hair loss, or even stillbirth or miscarriage, systemic lupus erythematosus should be suspected. For systemic lupus erythematosus, related medical tests are necessary, including complete blood count, urinalysis, erythrocyte sedimentation rate, C-reactive protein, 13 autoantibody tests, and anticardiolipin antibodies. These are the primary and most basic tests, specifically the 13 autoantibody tests. If the diagnosis is confirmed based on these tests, further assessments such as heart evaluation, chest CT need to be perfected. When necessary, 24-hour urine protein quantitation and kidney biopsy should be performed to assess the damage to the kidneys and the severity of the condition, mainly influencing the subsequent treatment plan.

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Written by Li Jing
Rheumatology
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What to do about hair loss from systemic lupus erythematosus?

Systemic lupus erythematosus is a multi-system, multi-damage autoimmune disease, primarily manifesting in the skin and mucous membranes. Some individuals may also experience low-grade fever and hair loss, even severe hair loss. If treatment has already commenced and hair loss continues during the treatment process, it is necessary to consider whether the medication dosage is insufficient and to consider adjusting the medication dosage. If medication has been discontinued and severe hair loss reoccurs, the first consideration should be whether there is a recurrence of active disease, necessitating a visit to the hospital for tests including a complete blood count, erythrocyte sedimentation rate, C-reactive protein, complement levels, and autoimmune antibodies to comprehensively assess whether the disease has relapsed. If the disease has relapsed, it is necessary to reintroduce steroids, adjust medication dosages, and combine the use of hydroxychloroquine to control the disease. (Specific medications should be used under the guidance of a physician.)

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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.