Can people with systemic lupus erythematosus drink alcohol?

Written by Yang Ya Meng

Rheumatology

Updated on January 18, 2025

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Patients with systemic lupus erythematosus are advised not to drink alcohol as it can damage the gastric mucosa. Patients with systemic lupus erythematosus often need to use corticosteroids for a long duration due to their condition, and prolonged use of corticosteroids can also harm the gastric mucosa. Therefore, drinking alcohol while using corticosteroids can easily lead to complications such as gastric ulcers, gastric bleeding, or even severe complications like hemorrhagic shock. Hence, it is recommended that lupus patients abstain from alcohol to protect their stomachs. By not consuming alcohol during corticosteroid treatment, the risk to the stomach can be significantly reduced.

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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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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.

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Written by Li Jing

Rheumatology

1min 10sec

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What should I do about hair loss from systemic lupus erythematosus?

First, systemic lupus erythematosus is an autoimmune disease characterized by multi-organ and multi-systemic damage, a systemic autoimmune disorder. It cannot be completely cured, but its symptoms can be managed and the progression of the disease can be controlled through medication. The main clinical manifestations include facial rashes, photosensitivity, Raynaud's phenomenon, fever, hair loss, etc. Therefore, in the treatment process of patients with systemic lupus erythematosus, if there is an increase in hair loss, or if other symptoms such as photosensitivity and hair loss occur, it may be considered that the disease is active or recurring. At this time, it is necessary to go to the hospital for comprehensive tests such as blood routine, erythrocyte sedimentation rate (ESR), complement levels, and autoimmune antibodies to assess the condition. If the disease is active or recurring, an adjustment in the dosage of the treatment medications may be necessary.

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Written by Yang Ya Meng

Rheumatology

55sec

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Systemic lupus erythematosus symptoms

Systemic lupus erythematosus is a disease that affects the entire body system, so there are generally systemic symptoms. The most common symptoms are bone and joint pain, and muscle pain. Some patients may show symptoms related to the skin and mucous membranes, mainly presenting as butterfly-shaped erythema, discoid erythema, and oral mucosal ulcers. In severe cases, patients may experience problems with the visceral system, mainly affecting the kidneys, primarily presenting as significant proteinuria in routine urine tests. Additionally, severe cases may even present with neurological and psychiatric issues, mainly exhibiting restlessness, hallucinations, paranoia, delusions, and various forms of cerebral infarction, cerebral hemorrhage, and other conditions.

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Written by Li Jing

Rheumatology

1min 5sec

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Systemic lupus erythematosus is not contagious.

Firstly, systemic lupus erythematosus is an autoimmune disease with an unclear cause. It can affect multiple organs including the heart, lungs, and kidneys. It is classified as an autoimmune disease and not a contagious one, so there is no need to worry about it spreading. However, this condition does have a certain genetic predisposition. For instance, if parents have systemic lupus erythematosus, then their offspring have a relatively higher chance of developing the condition compared to families without a history of the disease. Being an autoimmune disease, it cannot be cured but can only be managed with medications such as corticosteroids to control the progression of the disease. Therefore, during the course of steroid treatment, it is vital to prevent infections. Finally, it is important to emphasize once again that systemic lupus erythematosus is not contagious and does not pose a risk of transmission, so everyone can be reassured.