Systemic Lupus Erythematosus Samples
Systemic Lupus Erythematosus (SLE) Overview
Systemic lupus erythematosus is a chronic autoimmune disease that causes systemic, or widespread, inflammation. The disease can affect the skin, joints, and blood vessels, as well as multiple organ systems.
Systemic lupus erythematosus is also the most common type of lupus, according to the Centers for Disease Control and Prevention (CDC).
Symptoms of Systemic Lupus Erythematosus (SLE)
SLE symptoms can come and go in flares. A lupus flare refers to a period during which the disease is actively producing symptoms. A person with lupus enters remission once their symptoms go away.
The severity of SLE flares can range from mild to severe. People may also experience symptoms that affect their kidneys, lungs, heart, or brain. SLE can affect nearly every organ in the body, so symptoms may vary widely from person to person.
Common Signs and Symptoms
People who have SLE may experience a range of symptoms, such as:
- Abdominal pain
- Anemia, or low red blood cell count
- Chest pain
- Difficulty breathing
- Edema, swelling of the limbs
- Fatigue
- Fever
- Hair loss
- Headaches
- Leukopenia, or low white blood cell count
- Mouth ulcers
- Painful or swollen joints
- Skin problems, including rashes and tiny red spots
- Sun sensitivity
- vision problems
- Vomiting
- Nausea
- Weight loss
Complications
Lupus nephritis causes the following symptoms:
- A butterfly-shaped rash on the face
- Fever
- Muscle aches
- Painful or swollen joints
Heart Complications
SLE can damage the nervous system and contribute to the following conditions:
- weakness in the limbs
- changes in sensations
- difficulty processing thoughts
- Seizures
Causes of Systemic Lupus Erythematosus (SLE)
The exact cause of SLE remains unknown. However, variations or mutations in specific genes can increase a person’s risk of developing SLE.
The genetic mutations that researchers have associated with SLE often involve genes that regulate the body’s immune function, which are called major histocompatibility complex (MHC) genes.
However not everyone with an SLE gene variation will develop the condition.
Other Causes
Other factors that can contribute to SLE include:
- Diet
- Exposure to toxic chemicals, sunlight, or certain medications
- Sex hormones
- Stress
- Viral infections
Treatment of Systemic Lupus Erythematosus (SLE)
Currently, there is no cure for SLE. Treatments focus on reducing symptoms — or inducing remission — and preventing severe complications, such as end-stage renal disease.
Medication
Depending on the symptoms and the affected organs, a person with SLE may receive one or more of the following types of medication:
- Antimalarials, including chloroquine (Aralen)
- Blood thinners, such as warfarin (Coumadin)
- Antimetabolites, such as methotrexate
- Biologics, such as belimumab ( Benlysta)
- Corticosteroids, for example, prednisone (Deltasone) creams
- Immunosuppressive medications, which include azathioprine (Imuran) and cyclosporine (Neoral)
- Nonsteroidal anti-inflammatory drugs (NSAIDs), which include aspirin
These medications work to reduce either inflammation, the activity of the immune system, or damage to the body resulting from SLE.
Dietary Changes
People who have SLE and lupus nephritis may wish to consider making the following dietary changes to help manage their symptoms:
- Eating more plant-based proteins, such as nuts and beans
- Limiting sodium intake
- Eating potassium-rich foods, including bananas, potatoes, and whole-wheat bread
- Purchasing fresh food as often as possible
- Avoiding packaged food and premade meals
- Eating smaller portions of animal proteins
- Limiting saturated and trans fats
- Eating foods that are low in phosphorus, such as fresh fruits and vegetables
Seeking Medical Help
People may wish to consider visiting the doctor if they experience SLE symptoms.
Those who have already received an SLE diagnosis should contact a doctor if they notice any new or worsening symptoms.
Outlook
The long-term effects of SLE depend on the severity and frequency of flares. Patients who experience more intense and frequent flares may have a higher risk of developing further complications.
Early Diagnosis
Early diagnosis and appropriate treatment can help initiate remission, prevent disease progression, and avoid potentially life-threatening complications.
Many women who have SLE can get pregnant and deliver healthy babies as long as they receive proper treatment throughout their pregnancy.
Types of Biospecimens
- Peripheral whole-blood
- Amniotic fluid
- Bronchoalveolar lavage fluid (BAL)
- Sputum
- Pleural effusion
- Cerebrospinal fluid (CSF)
- Serum (sera)
- Plasma
- Peripheral blood mononuclear cells (PBMC)
- Saliva
- Buffy coat
- Urine
- Stool samples
- Aqueous humor
- Vitreous humor
- Kidney stones (renal calculi)
- Other bodily fluids from most diseases including cancer.
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