We
Have Lupus - About Us
This site
is dedicated to Lauri Amber Reinke-Diggs who succumbed to complications
of SLE on December 10, 1999.
The purpose
of our We Have Lupus is to provide a free meeting place online for
emotional and information support of Lupus patients and their families.
Our admin and moderators on the bulletin board are volunteers here
to help with questions and to strengthen the faith of those afflicated
with Lupus.
About
Lupus
Systemic
Lupus Erythematosus (SLE), also known as "LUPUS" is a
chronic, autoimmune disease which is potentially fatal. The disease
usually lasts for the life of the patient once diagnosis has been
made and is characterized by unpredictable relapse and remission.
The disease generally involves the joints, the skin, the kidney,
the brain, serosa, the lungs, the heart and the gastrointestinal
tract.
Women and
minorities are disproportionately affected by SLE and the most affected
age group is generally women of child-bearing age (however, the
disease has been reported in both extremes of life. A recent study
has found that approximately 2,000,000 persons in the United States
has been diagnosed with SLE.
With recent
treatments, health care and medications, the diagnosis for patients
with SLE have found that 80% to 90% survive ten years.
SLE shares
some similarities with HIV infection in that it involves multiple
organ involvement, patients suffer from potential life-threatening
episodes and the patients require constant (and sophisticated) monitoring.
Further, the features of SLE may mimic infectious mononucleosis,
lymphoma, rheumatoid arthritis or other "systemic" diseases.
According
to the Lupus Clinical Overview, "SLE is an autoimmune disease
characterized by immune dysregulation resulting in the production
of antinuclear antibodies (ANA), generation of circulating immune
complexes, and activation of the complement system". As earlier
stated, SLE involves unpredictable episodes of relapse and remission
with the patient having little evidence (or precursor signs) of
what will cause a relapse or when remission will occur.
The disease is three times more common in African Americans than
in American Caucasians.
Approximately
35 new cases per 100,000 population are reported each year.
Discoid Lupus is a SLE subset. This is an illness characterized
by non-photosensitive, chronic and potentially scarring skin disease.
This SLE subset is usually unaccompanied by ANA or other autoantibodies.
Ten percent (10%) of patients with discoid lupus develop systemic
lupus. Fifty percent (50%) of all patients with SLE are sensitive
to ultraviolet light. This can be a major problem, especially when
the disease is active.
80% of SLE patients will develop joint or skin involvement.
Most patients
demonstrate photosensitive rashes and alopecia (loss of hair). Generally,
patients will develop arthralgia or arthritis, fever, organ involvement,
anemia, pulmonary hypertension, mucosal ulcers, dermatological manifestations,
raynaudus syndrome, pericarditis, pleuritis, peritonitis, anemia,
reticulocytosis, thrombocytopenia, glomeruplopathy (kidney disease),
neuropsychiatric complications, antiphopholipid antibody syndrom,
retinal vasculitis, and gastrointestinal complications. SLE patients
are generally treated with symptomatic steroids, NSAIDs, antimalrials,
immunosuppressants, stem cell transplants, and minocyclines.
Lupus patients
find that having the disease can be a lonely and frightening experience.
While the disease is very common, few people know much about it,
its symptoms or how to deal with a patient suffering from the constant
relapse/remission syndrome. Almost all cases of lupus are treatable,
the disease gradually goes into remission in many cases. Life can
be a struggle at times, but SLE patients must be aware of their
disease, treatments and medications and take especially good care
of themselves.
Many can
live a "normal life". However, the disease is potentially
life-threatening and some patients have succumbed to complications
of the disease.
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