Who gets lupus?

While lupus can occur at any age and in either sex, 90 percent of those living with lupus are female. Women are often diagnosed during the childbearing years, between the ages of 15 and 45. African Americans, Latinos, Asians and Native Americans have a higher risk for lupus. However, it can affect any ethnic group. 

Although 10 percent of those with lupus are male, there is little information about why men get lupus. Some studies have found that after the age of 50, the percentage of women with lupus falls to 75 percent and the percentage of men with lupus increases to 25 percent. 

Lupus can also affect children. It usually occurs at the age of 15 and older, however it can be diagnosed at any age. Children with lupus can have a large degree of kidney involvement. Severity of kidney involvement can alter the survival rate of people with lupus. 

In rare cases, the newborn of a mom with lupus may have neonatal lupus. This condition can cause skin rashes, anemia or liver problems. Symptoms usually go away after a few months and don’t cause permanent damage. Some babies with neonatal lupus can be born with a serious heart defect. About five percent of the children born to individuals with lupus will develop the illness. 

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Is there a test for lupus?

There is no single test that can determine whether a person has lupus, but several laboratory tests may help the physician confirm a diagnosis or rule out other causes for symptoms. The most useful tests identify certain autoantibodies often present in the blood of people with lupus. For example, the antinuclear antibody (ANA) test is commonly used to look for autoantibodies that react against components of the nucleus, or “command center,” of the body’s cells.

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What causes lupus?

While the cause is unknown, scientists suspect that individuals are genetically predisposed to lupus, and the disease remains quiet until a trigger sets the disease process in motion. Some outside environmental factor(s) create the right conditions for the disease to become active. The conditions that trigger lupus vary from person to person. 

Only 10 percent of those with lupus will have a close relative (parent or sibling) who already has or may develop lupus. The chance increases to 50 percent if you have an identical twin with lupus. About five percent of the children born to individuals with lupus will develop the illness.

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Why is lupus so difficult to diagnosis?

There is no single diagnostic test for lupus. It can often take years for a diagnosis to be made because lupus may affect many systems within the body and many symptoms of lupus are similar to those of other diseases. 

Systemic lupus is also difficult to diagnose because it is a disease that does not typically develop rapidly, but rather develops slowly and evolves over time. Symptoms or flares, which would lead to a specific diagnosis, may not appear all at once and can occur in different parts of the body over weeks, months or even years. 

Making a correct diagnosis of lupus requires knowledge, awareness and good communication between you and your physician. An accurate medical history (for example, what symptoms you have had and for how long) is critical to the process. This information is combined with results of physical examinations and laboratory tests to lead to a diagnosis.

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What is a flare?

Lupus is unpredictable and patients often suffer flares, or active symptoms of the disease, followed by periods of remission (some doctors prefer to use the term “quiescence,” which means a quiet period). For those who have not been diagnosed with lupus, this continued recurrence of symptoms might be the first clue that lupus is the cause. 

Lupus flares can be classified as mild, moderate or severe.  An example of a milder flare might be the appearance of a rash. A very severe flare could cause fluid collection around the heart or even kidney failure. 

What causes a flare is almost as unpredictable as when the flare will occur. There is no definitive way to predict when a flare will happen, how bad it will be, or how long it will last. When you have a lupus flare, you may have different symptoms than those you have had in the past. 

You may find that your symptoms flare after you’ve been out in the sun and exposed to ultraviolet light, after a hard day at work, or if you have not gotten enough rest. Stress, certain medications, infections, medication changes, and even pregnancy can trigger flares in lupus patients. 

Even if you take medicine for lupus, you may find that there are times when the symptoms become worse. If possible, learning to recognize when a flare is coming can help you take steps to cope with it.

Early signs of a flare in some individuals with lupus may include:

  • Increased fatigue
  • A new or higher fever
  • Increased pain
  • Development or worsening of a rash
  • Development of new symptoms
  • Swollen joints 

The best way to manage lupus and avoid flares is to listen to your body, learn what your personal triggers and early warning signs are, and talk with your physician about them. If you think a flare is starting, it’s best to see your physician as soon as possible.

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Can I have a healthy pregnancy if I have lupus?

Women with lupus often question whether they are able to have children. Women with lupus can and do have healthy babies. Pregnancy is considered high risk, yet most women carry their babies safely. It is important to consult with physicians prior to, during, and after pregnancy to determine individual risks and care for themselves and their newborn.

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