Orthopedic Hospital of Oklahoma

Systemic Lupus Erythematosus:

Systemic Lupus Erythematosus (SLE) is a chronic disease of the connective tissue, which involves the entire body.  The disease affects individuals differently and may cause mild symptoms in one person and be debilitating in another.  The symptoms will also appear and disappear without any apparent reason. 

It is not clear what causes SLE to develop, but research indicates there may be a number of risk factors that may increase your risk of developing systemic lupus.

  • Genetic link
  • Hormones (more women have SLE than men)
  • Environmental factors
  • Viruses
  • Infections
  • Immune system problems
  • Stress

The physical mechanism of SLE is that the body makes antibodies that attack its own body cells and specifically the cell nucleus.  As the nucleus is attacked, the cell dies, and gradually, tissue begins to become weak and less able to function effectively.

The most common symptoms of SLE include:

  • A butterfly rash on the cheeks and nose
  • Joint pain all over the body
  • Inflammation around the heart
  • Kidney problems
  • Fever and generalized fatigue
  • Seizures
  • Depression
  • Memory loss
  • Hair loss
  • Anemia causing fatigue
  • Low white cell count making the person susceptible to infection
  • Low platelet count causing the person to bruise easily
  • Nausea and vomiting
  • Diarrhea
  • Difficulty swallowing

Treatment is individualized for each person, but focuses on treating symptoms as they appear. Consequently, people with SLE are monitored closely to ensure they are receiving the appropriate treatment at all times.  The treatment options often include:

  • Medications to suppress the inflammation and immune response.  Aspirin, Tylenol, Ibuprofen, or NSAID’s (Non-steroidal Anti-inflammatory Drugs) will be used for milder symptoms.  Topical steroid creams will help with the rash.  Corticosteroids are necessary for severe symptoms.
  • Rest to decrease demands on the body organs.
  • Nutrition- to increase strength and nourishment to body tissues.
  • Avoiding the sun- to prevent irritation to the skin.
  • Education regarding all the medications and their side effects and how to avoid those types of activities can cause flare ups of the symptoms.
  • Emotional support to deal with the chronicity of the disease and the body changes experienced.