Can people with systemic lupus erythematosus drink alcohol?

Written by Yang Ya Meng

Rheumatology

Updated on January 18, 2025

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Patients with systemic lupus erythematosus are advised not to drink alcohol as it can damage the gastric mucosa. Patients with systemic lupus erythematosus often need to use corticosteroids for a long duration due to their condition, and prolonged use of corticosteroids can also harm the gastric mucosa. Therefore, drinking alcohol while using corticosteroids can easily lead to complications such as gastric ulcers, gastric bleeding, or even severe complications like hemorrhagic shock. Hence, it is recommended that lupus patients abstain from alcohol to protect their stomachs. By not consuming alcohol during corticosteroid treatment, the risk to the stomach can be significantly reduced.

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Written by Li Jing

Rheumatology

1min 10sec

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Can systemic lupus erythematosus be cured?

Systemic lupus erythematosus (SLE) kidney is a chronic autoimmune disease with multi-organ damage that occurs systemically. This disease is common in women of childbearing age and is most frequently characterized by facial rashes. It can also present with fever, hair loss, and even edema of both lower limbs and hypoalbuminemia. As an autoimmune disease, it cannot be cured and can only be managed with medications. Treatment aims to stabilize the condition and gradually reduce the medication dosage to the minimum necessary to maintain the condition and prevent it from becoming active, thus delaying damage to other organs. Systemic lupus erythematosus involves multiple systems, with the kidneys being the most susceptible, requiring formal medical treatment to prevent complications in the organs.

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Written by Li Jing

Rheumatology

40sec

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Systemic lupus erythematosus is a disease.

Firstly, systemic lupus erythematosus is a chronic disease. It is an autoimmune disease that can affect multiple systems and organs and cannot be cured. It can only be controlled over the long term with medication. The goals of comprehensive treatment are to control symptoms, prevent relapses, slow the progression of the disease, and provide symptomatic treatment. Because this disease cannot be cured, it is important to avoid sun exposure, overwork, and getting chilled in daily life to prevent triggering or worsening the condition. Particularly in women, it is crucial to avoid oral contraceptives.

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Written by Yang Ya Meng

Rheumatology

39sec

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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

1min 19sec

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Initial symptoms of systemic lupus erythematosus

Systemic lupus erythematosus is an autoimmune disease that affects multiple systems and organs and is associated with a variety of autoimmune antibodies, primarily occurring in women of childbearing age. Its clinical manifestations are diverse, with the condition being mild and recurrently evolving. The most common symptoms involve changes to the skin, where various types of edematous erythema can occur, and in severe cases, there can be blisters, ulcers, erosion, skin atrophy, hyperpigmentation, and scar formation. Among these, the butterfly rash is most specific. Additionally, other symptoms may include joint swelling and pain; kidney involvement can lead to foamy urine, which is a common presentation; gastrointestinal involvement can cause diarrhea, and neurological involvement can lead to mental disorders and seizures. Therefore, once facial rashes, photosensitivity, or joint swelling and pain occur, it is crucial to be vigilant, undergo relevant examinations promptly, diagnose early, and treat early, as it is very important for the prognosis of the disease.

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Written by Yang Ya Meng

Rheumatology

57sec

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Systemic Lupus Erythematosus Clinical Manifestations

The clinical manifestations of systemic lupus erythematosus are diverse and variable. The primary symptoms involve the bones, joints, and muscles, with joint pain being a common presentation. The second major area affected is the skin and mucous membranes, where the most common symptoms are symmetrical butterfly-shaped erythema and discoid erythema on the face. Some patients experience kidney involvement, primarily presenting as significant proteinuria, hematuria, and cylindrical urine. Pulmonary involvement is also common in some patients, often manifesting as pleurisy. The digestive system can also be affected, typically presenting as abdominal pain. The hematological system is a very common site of involvement in lupus, mainly indicated by routine blood tests showing decreases in white blood cells and platelets.