What should I do about hair loss from systemic lupus erythematosus?

Written by Li Jing
Rheumatology
Updated on February 28, 2025
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First, systemic lupus erythematosus is an autoimmune disease characterized by multi-organ and multi-systemic damage, a systemic autoimmune disorder. It cannot be completely cured, but its symptoms can be managed and the progression of the disease can be controlled through medication. The main clinical manifestations include facial rashes, photosensitivity, Raynaud's phenomenon, fever, hair loss, etc. Therefore, in the treatment process of patients with systemic lupus erythematosus, if there is an increase in hair loss, or if other symptoms such as photosensitivity and hair loss occur, it may be considered that the disease is active or recurring. At this time, it is necessary to go to the hospital for comprehensive tests such as blood routine, erythrocyte sedimentation rate (ESR), complement levels, and autoimmune antibodies to assess the condition. If the disease is active or recurring, an adjustment in the dosage of the treatment medications may be necessary.

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Written by Yang Ya Meng
Rheumatology
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Can systemic lupus erythematosus be cured?

Systemic lupus erythematosus is difficult to cure completely as it is a chronic disease that requires long-term, lifelong medication. The most basic drugs used to treat systemic lupus erythematosus are corticosteroids. Hydroxychloroquine is also a basic treatment for systemic lupus erythematosus, but it is necessary to rule out contraindications such as retinal problems before use. Some patients with systemic lupus erythematosus, if they also have kidney or lung involvement, may need to consider treatment with immunosuppressants after using corticosteroids. Commonly used immunosuppressants include mycophenolate mofetil and cyclophosphamide. (Medication should be taken under the guidance of a physician.)

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

Systemic lupus erythematosus is an autoimmune disease and is chronic. The cause of the disease is mostly unclear, but studies have shown that it is related to genetics, environmental pollution, viral infections, hormone levels, and other factors. As an autoimmune disease, it cannot be completely cured. The main purpose of treatment is to control symptoms, delay the onset of complications, and improve the quality of life. The preferred treatment involves corticosteroids. The dosage should be adjusted according to the condition; after stabilizing, the dosage should gradually be reduced to a small maintenance dose. It is important to continue the medication even during maintenance therapy, as discontinuing the medication can lead to a recurrence of the disease. Additionally, chilling, fatigue, infection, and sun exposure can all trigger the activity of lupus, so it is important to be cautious in daily life. (Please use medication under the guidance of a doctor.)

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Written by Li Jing
Rheumatology
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Can systemic lupus erythematosus become pregnant?

Firstly, systemic lupus erythematosus is a multisystemic, systemic autoimmune disease that can involve multiple organs throughout the body. Regarding the issue of whether one with systemic lupus erythematosus can become pregnant, it cannot be generalized and must be considered in conjunction with the condition of the disease. For example, if the disease is in its early stages and has been stabilized through treatment, then it is possible to become pregnant. If systemic lupus erythematosus has already presented with severe complications, such as lupus nephritis, significant proteinuria, or an increase in creatinine urea, affecting kidney function and causing kidney damage, then it is not recommended to become pregnant during this period. Pregnancy at this time not only offers no substantial benefit to the person with systemic lupus erythematosus but can also increase the burden on the kidneys, leading to further deterioration of kidney function, which can be life-threatening.

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Written by Li Jing
Rheumatology
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Systemic Lupus Erythematosus Symptom Chart

Firstly, systemic lupus erythematosus is a multi-system, multi-organ autoimmune disease that cannot be cured but can only be controlled with medication to slow the progression of the disease and prevent complications. Clinical manifestations are diverse, with most early symptoms typically being atypical, and sometimes not presenting any discomfort at all. Some individuals may experience acute onset, which can include high fever, progressive decline in platelets, and even progressive anemia, all characteristic of the acute phase. Other common symptoms include fever, skin erythema, and even ischemia of the extremities. Some people may experience joint pain, mainly in the finger joints and knee joints, as well as swelling of the lower limbs, chest tightness, and decreased exercise tolerance, which are more typical manifestations.

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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.