What to do if systemic lupus erythematosus causes a fever?

Written by Yang Ya Meng
Rheumatology
Updated on March 09, 2025
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Patients with systemic lupus erythematosus (SLE) who develop a fever first need to discern whether the fever is due to immune-related fever caused by the activity of the disease or an infectious fever due to weakened immunity from long-term use of steroids and immunosuppressants. If the fever is caused by lupus activity, then it is necessary to increase the dosage of corticosteroids in treatment. If the fever is due to an infection, a full course of anti-infection treatment is needed. The anti-infection regimen may even need to include treatments with antibacterial, antifungal, and antiviral medications. (Please follow professional medical advice for medication use, and do not self-medicate.)

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Written by Yang Ya Meng
Rheumatology
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What causes systemic lupus erythematosus?

Systemic lupus erythematosus mainly has four major causes: The first is related to the environment. Long-term exposure to sunlight, or living in a humid environment, may trigger the onset of systemic lupus erythematosus. Secondly, there is a certain genetic predisposition to systemic lupus erythematosus. If the parents have systemic lupus erythematosus, the probability of their offspring developing the disease is higher. Thirdly, systemic lupus erythematosus is also related to estrogen, which is why, clinically, lupus is more commonly seen in women of childbearing age and less often in men. Systemic lupus erythematosus is also associated with some specific infections, such as bacterial or viral infections, which may trigger a lupus flare-up.

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Written by Li Jing
Rheumatology
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Can people with systemic lupus erythematosus eat black fungus?

Systemic lupus erythematosus is an autoimmune disease that affects multiple systems and organs. It cannot be cured and can only be managed through medications to control the progression of the disease and delay complications. It commonly occurs in women of childbearing age. In the early stages, when no other organs are damaged, there are no special dietary restrictions and black fungus can be eaten. However, fruits such as figs and bayberries, which are exposed to ultraviolet light for a long period, should be avoided. If the disease affects the kidneys causing damage such as proteinuria and increased creatinine, a diet low in salt, fat, and restricted in high-quality protein is necessary. High-quality protein mainly refers to lean meats and pure milk, and consumption of black fungus should be moderated.

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Written by Li Jing
Rheumatology
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What causes systemic lupus erythematosus?

Firstly, systemic lupus erythematosus belongs to autoimmune diseases and is a multisystemic autoimmune disorder. It is a chronic disease that cannot be cured. It can only be managed through medication to control the progression of the disease, prevent relapses, delay damage to other organs, and prevent complications. This is the overall principle of treatment. Its cause is currently unclear. It is only related to factors such as environmental pollution, viral infections, genetics, and hormones, according to expert research. However, there is no specific definitive cause identified.

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Written by Yang Ya Meng
Rheumatology
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Typical skin manifestations of systemic lupus erythematosus

The most typical skin rashes of systemic lupus erythematosus are called butterfly rash and discoid rash. The so-called butterfly rash is a rash on both sides of the nostrils, resembling the wings of a butterfly, and the so-called discoid rash is a circular, disc-shaped rash on the facial area. At the same time, patients with systemic lupus erythematosus may also experience reticular purpura or vasculitic rashes like those of end-finger vasculitis, all of which are typical manifestations of skin rashes in patients with systemic lupus erythematosus.

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Written by Li Jing
Rheumatology
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Can systemic lupus erythematosus be cured completely?

Firstly, systemic lupus erythematosus is a chronic autoimmune disease that causes damage to multiple systems. Its occurrence is associated with factors such as genetics, environmental pollution, infections, and hormone levels. As an autoimmune disease, it cannot be completely cured. Treatment involves using medications to control symptoms, delay the onset of complications, reduce disability rates, and improve quality of life. This represents the comprehensive goals of its treatment. The first choice of treatment is corticosteroids. Once diagnosed with systemic lupus erythematosus, it is essential to conduct thorough examinations to assess the activity of the disease and the organs involved. Based on the activity of the disease and the organs affected, the dosage of treatment may vary.