Lupus
Lupus is among the many disorders of the immune system.
The term lupus does not only refer to one kind of
disease, but a series of symptoms caused by
abnormalities with the body’s immune system. Another
term for lupus is systemic lupus erythematosus or SLE,
which is the most serious type of lupus with highest
incidence rate. Systemic in SLE means affecting the
entire body or internal system.
The human immune system is the defensive system in which
immune cells are programmed to attack foreign bodies
like microbes, and destroy harmful substances like
poisons and toxins. In the case of lupus as an
autoimmune disease, the normal tasks of protection by
the immune system are altered. In easy terms, lupus
erythematosus develops when the body becomes allergic to
itself. Instead of protecting healthy cells, the immune
system destroys healthy and normal body cells, such as
in the brain, kidneys, lungs, and blood vessels, among
others. Immunologically speaking, it is the opposite of
that takes place in cancer or AIDS. In lupus, the body
exaggerates to an unknown motivation and makes too many
antibodies, or proteins directed against body tissue. As
a result, there is massive deterioration and
malfunctioning of many organ systems. Thus, lupus is
called self immune disease. There is inflammation or
swelling of many tissues, which can cause pain, and many
other symptoms.
Comparing men and women, it is the women who are more
likely to be diagnosed with lupus, possibly due to
hormonal conditions. The patients who are diagnosed with
lupus are usually between 15 and 45 years of age.
While systemic lupus is the most common form of the
disease, ten percent of lupus patients suffer from
drug-induced lupus. Usually it is not as severe as
systemic lupus, and it often goes away when the person
stops taking the offending drug.
Over seventy drugs have been implicating in causing
drug-induced lupus, yet there are three major offenders
– hydralazine, procainamide, and methyldopa. If
isoniazid, chlorpromazine, and D-penicillamine are added
to the top three drug-induced lupus causing medications,
it accounts for ninety nine percent of all medications
that can bring upon discoid lupus symptoms.
Discoid lupus has a much longer official name, “chronic
cutaneous lupus erythematosus”. Approximately ten
percent of lupus patients are diagnosed with discoid
lupus, which effects only skin that is exposed to
sunlight. Most often it is diagnosed when the person
comes up with a lupus rash, but does not fulfill the
requirements for systemic lupus.
While discoid lupus rashes can look similar to rosacea,
fungal infections, sarcoidosis, and more, skin biopsy
will tell the difference. It is important for people
with discoid lupus to seek treatment early, as the
lesions can progress causing scarring and, in some
cases, skin cancer. Most discoid lupus is treated by
using sunscreen, antimalarials, and steroid creams.
Generalized discoid lupus only has a ten percent chance
of turning into systemic lupus, while localized discoid
lupus rarely becomes systemic lupus.
Neonatal lupus is believed that neonatal lupus is caused
through transference of lupus cells via the placenta.
The auto antibodies settle into the baby’s heart and
skin. Antibodies settle in the heart tissue, there is an
increased risk for myocardial dysfunction or congenital
heart block. However, the risk of neonatal congenital
heart block in lupus babies is only one to two percent
of mothers with systemic lupus. The risk is much greater
for cetaceous lupus to develop.
Systemic lupus is diagnosed by using specific criteria
determined by the American College of Rheumatology.
Despite the fact that the criteria are outlined, it can
actually take a long time to diagnose. While some tests
help in the diagnosis, there is no one definitive test
for systemic lupus.
Systemic lupus can appear on the skin, as can be seen by
the first four criteria. It causes major damage to the
internal organs. While antibody test tells a physician
that there is a potential autoimmune disease, it does
not give a definitive lupus diagnosis alone.
There are other signs too that indicate the possibility
of having this condition, and may also refer to other
underlying illnesses. There is pain in the joints, which
sometimes moves from one area to another. The legs and
feet may be swollen due to the joint pain. The skin may
be reddish or swelling in some parts of the body. These
areas with redness can change to rashes, which can cover
the scalp, face, arms, and chest. The patient may have a
sudden loss of weight, lack of appetite, constant
fatigue, and very low levels of energy. Aside from
those, a patient who has lupus has very frequent
headaches and heightened sensitivity to sunlight or
bright light. He may also experience chest pains and
sudden hair loss in the scalp.
Other physiological changes can be found, which doctors
used to further diagnose if the condition is lupus or
not. The kidneys may be affected, and they can lose
their function. Not only, red blood cell count, platelet
count, and white blood cell count may decrease to levels
that are lower than normal. A person with lupus might
have other nervous system disorders, such as psychosis
or seizures.
There are pain relief drugs that are used to alleviate
the suffering from the joint and muscular aches
associated with the degeneration of cartilage and other
tissues. There are also prescribed drugs that reduce the
swelling associated with lupus.
Diseases Related To Lupus
Diseases related to lupus are Hughes Syndrome,
Fibromyalgia, Jorgen’s Syndrome, and Raynaud’s
Phenomena.
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