Is systemic lupus erythematosus serious?

Written by Yang Ya Meng
Rheumatology
Updated on October 21, 2024
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Systemic lupus erythematosus (SLE) can vary in severity. The main criterion for determining whether it is mild or severe is to check whether SLE has involved important visceral organs, such as the lungs, the heart, and most commonly, the kidneys, as well as the most severe form, neuropsychiatric lupus. If a patient shows involvement of the aforementioned visceral systems, then lupus is considered to be relatively severe, and may sometimes even threaten the patient’s life. However, if lupus does not involve the visceral systems, it is considered to be mild.

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Written by Yang Ya Meng
Rheumatology
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Can people with systemic lupus erythematosus have children?

Patients with systemic lupus erythematosus can have children, but only if they are taking less than one and a half steroids and less than two hydroxychloroquine tablets. Additionally, they must be closely monitored throughout the early, middle, and late stages of pregnancy, and regularly consult with both obstetricians and rheumatologists to discuss any necessary adjustments in treatment. This is because pregnancy is a high-risk factor for triggering lupus activity, with the disease often relapsing during the first six weeks of pregnancy and the six weeks following childbirth. (Medications should be used under the guidance of a physician.)

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Written by Li Jing
Rheumatology
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Systemic lupus erythematosus is not contagious.

Firstly, systemic lupus erythematosus is an autoimmune disease with an unclear cause. It can affect multiple organs including the heart, lungs, and kidneys. It is classified as an autoimmune disease and not a contagious one, so there is no need to worry about it spreading. However, this condition does have a certain genetic predisposition. For instance, if parents have systemic lupus erythematosus, then their offspring have a relatively higher chance of developing the condition compared to families without a history of the disease. Being an autoimmune disease, it cannot be cured but can only be managed with medications such as corticosteroids to control the progression of the disease. Therefore, during the course of steroid treatment, it is vital to prevent infections. Finally, it is important to emphasize once again that systemic lupus erythematosus is not contagious and does not pose a risk of transmission, so everyone can be reassured.

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Written by Yang Ya Meng
Rheumatology
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What should be done if systemic lupus erythematosus causes a fever?

If patients with systemic lupus erythematosus develop a fever, it is first necessary to determine whether the fever is caused by poor control of systemic lupus erythematosus, leading to an immune-related fever, or if it is due to the patient's long-term use of corticosteroids and immunosuppressants, resulting in decreased resistance and an acute infection, thus causing the fever. If the fever is immune-related, it will be necessary to strengthen treatment with corticosteroids and immunosuppressants. If the fever is due to an infection, regular anti-infection treatment will be required, which sometimes includes antifungal, antibacterial, and antiviral therapies. (The use of medications should be carried out under the guidance of a doctor)

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Written by Yang Ya Meng
Rheumatology
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Systemic lupus erythematosus symptoms

Systemic lupus erythematosus is a disease that affects the entire body system, so there are generally systemic symptoms. The most common symptoms are bone and joint pain, and muscle pain. Some patients may show symptoms related to the skin and mucous membranes, mainly presenting as butterfly-shaped erythema, discoid erythema, and oral mucosal ulcers. In severe cases, patients may experience problems with the visceral system, mainly affecting the kidneys, primarily presenting as significant proteinuria in routine urine tests. Additionally, severe cases may even present with neurological and psychiatric issues, mainly exhibiting restlessness, hallucinations, paranoia, delusions, and various forms of cerebral infarction, cerebral hemorrhage, and other conditions.

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Written by Li Jing
Rheumatology
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Can people with systemic lupus erythematosus drink alcohol?

Systemic lupus erythematosus is a chronic systemic autoimmune disease that cannot be cured. It can only be managed with medication to control the progression of the disease, reduce recurrence, delay complications, and decrease mortality and self-harm rates. These are the main treatment objectives. Patients with systemic lupus erythematosus should avoid sun exposure and, for women, the use of oral contraceptives. It is also important to avoid overwork and staying up late. Patients are generally advised to quit smoking and drinking alcohol. Therefore, patients with systemic lupus erythematosus should not consume alcohol, especially during treatment, to avoid adverse reactions with medications.