The prognosis of lupus is better today than ever before. With close follow-up and treatment, 80-90% of people with lupus can expect to live a normal life span.
Lupus nephritis tends to develop within 5 years of the appearance of initial lupus symptoms. The condition affects about 40% of people who have SLE and can lead to end-stage kidney disease (ESKD) in 22% of patients over a period of 15 years.
Lupus nephritis is one of the most serious complications of lupus. It occurs when SLE causes your immune system to attack your kidneys — specifically, the parts of your kidney that filter your blood for waste products. The kidneys play a vital part in your body's functioning.
Overall, SLE gradually gets worse over time, and damage to the major organs of the body can be life-threatening.
Signs and symptoms may come on suddenly or develop slowly, may be mild or severe, and may be temporary or permanent. Most people with lupus have mild disease characterized by episodes — called flares — when signs and symptoms get worse for a while, then improve or even disappear completely for a time.
There are two types of lupus. Systemic lupus erythematosus (SLE) is the form of lupus that can harm your skin, joints, kidneys and brain and may be fatal.
With close follow-up and treatment, 80-90% of people with lupus can expect to live a normal life span. It is true that medical science has not yet developed a method for curing lupus, and some people do die from the disease. However, for the majority of people living with the disease today, it will not be fatal.
The vast majority of people diagnosed with the condition will have a normal or near-normal life expectancy. However, some people with SLE are still at risk of life-threatening complications as a result of damage to internal organs and tissues, such as heart attack or stroke.
Common symptoms that indicate a flare are: Ongoing fever not due to an infection. Painful, swollen joints. An increase in fatigue.
Living with lupus can be hard, but a positive outlook is important. You can do several things to help you live with lupus. A good place to start managing your lupus is to work with your doctor and take your medications as directed. At times, you may feel sadness and anger.
An infection, a cold or a viral illness. An injury, particularly traumatic injury. Emotional stress, such as a divorce, illness, death in the family, or other life complications. Anything that causes stress to the body, such as surgery, physical harm, pregnancy, or giving birth.
The most common lupus symptoms (which are the same for men and women) are: Extreme fatigue (feeling tired all the time) Pain or swelling in the joints. Swelling in the hands, feet, or around the eyes.
Lupus can be hard to diagnose because it has many symptoms that are often mistaken for symptoms of other diseases. Many people have lupus for a while before they find out they have it. If you have symptoms of lupus, tell your doctor right away.
The first symptoms of lupus usually occur somewhere between the teen years and the 30s and may be mild, severe, sporadic, or continual. Common general symptoms include fatigue, fever, and hair loss. Lupus can also affect individual organs and body parts, such as the skin, kidneys, and joints.
Other skin conditions that sometimes mimic the skin problems of lupus include melasma, psoriasis, eczema (atopic dermatitis), and facial seborrheic dermatitis. A dermatologist can diagnose these skin conditions.
Sudden death in lupus patients is uncommon in the literature. A few cases of sudden death not due to myocardial infarction have been reported. One of them was a patient with both myocarditis and thyroiditis who apparently had myocardial failure and arrhythmias leading to death.
Muscle and joint pain.
You may experience pain and stiffness, with or without swelling. This affects most people with lupus. Common areas for muscle pain and swelling include the neck, thighs, shoulders, and upper arms.
Some people with lupus have only mild symptoms. But the disease is lifelong and can become severe. Lupus may cause problems with your skin, kidneys, heart, lungs, nerves, or blood cells. Systemic lupus erythematosus is the most common and most serious type of lupus.
What is the risk of organ damage in lupus? Based on different studies, 10%-30%, 20%-40%, and 30%-50% of SLE patients have demonstrated organ damage at one, five, and 10 years, respectively. In early disease, higher damage index scores are associated with a poor prognosis.
About 20,000 people in Australia and New Zealand have lupus. About 9 in 10 are women and the majority develop the condition between 15 and 45 years.
Though it is part of hospice care (care for the terminally ill who forgo further treatment), palliative care can be offered to anyone with a serious illness including those, like many lupus patients, who will likely live many years with their diseases.
There is no known cause for lupus, but it's likely that lupus results from several factors interacting with each other. For example, we know that genetics, environmental exposures (such as certain medications or severe exposure to ultraviolet rays) and hormones all likely contribute to the development of lupus.