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Understanding Lupus: Symptoms and Causes

Apr 23, 2025

Lupus: Symptoms & Causes - Mayo Clinic

Overview

  • Lupus is an autoimmune disease where the immune system attacks body's tissues.
  • Causes inflammation affecting joints, skin, kidneys, blood cells, brain, heart, and lungs.
  • Diagnosis is challenging due to mimicry of other ailments; distinctive feature: butterfly-shaped facial rash.
  • No cure but treatments available to manage symptoms.

Symptoms

  • Symptoms vary: sudden or slow onset, mild or severe, temporary or permanent.
  • Most experience mild disease with flares.
  • Symptoms depend on affected systems but often include:
    • Fatigue
    • Fever
    • Joint pain, stiffness, swelling
    • Butterfly-shaped facial rash
    • Skin lesions sensitive to sun
    • Raynaud's phenomenon (color change in fingers/toes)
    • Shortness of breath
    • Chest pain
    • Dry eyes
    • Headaches, confusion, memory loss

When to See a Doctor

  • Consult a doctor if experiencing an unexplained rash, ongoing fever, or persistent aching and fatigue.

Causes

  • Combination of genetics and environment.
  • Triggers may include:
    • Sunlight: Induces skin lesions or internal response.
    • Infections: Can initiate or relapse lupus.
    • Medications: Certain drugs can trigger lupus; drug-induced lupus is reversible post medication cessation.

Risk Factors

  • Sex: More common in women.
  • Age: Commonly diagnosed between 15-45 years.
  • Race: Higher prevalence in African Americans, Hispanics, Asian Americans.

Complications

  • Kidneys: Potential for severe damage, leading cause of lupus-related death.
  • Brain & CNS: Possible headaches, dizziness, behavior changes, strokes, seizures.
  • Blood & Vessels: Anemia, bleeding, clotting issues.
  • Lungs: Inflammation, painful breathing, possible pneumonia.
  • Heart: Inflammation, increased cardiovascular disease risk.

Other Complications

  • Increased infection risk due to weakened immune response.
  • Slightly increased cancer risk.
  • Bone tissue death from reduced blood supply.
  • Pregnancy complications like miscarriage, high blood pressure, preterm birth.

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