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All about lupus

Professor David Thomas
Written in association with: Professor David Thomas Nephrologist in Central London
Published: 28/11/2025 Edited by: Conor Lynch on 28/11/2025

Lupus, formally known as systemic lupus erythematosus (SLE), is a chronic autoimmune disease in which the body’s immune system mistakenly attacks healthy tissues. This abnormal immune response can cause inflammation and damage to multiple organs, including the skin, joints, kidneys, heart, lungs, and brain. Because lupus can affect so many parts of the body, its symptoms vary widely, making diagnosis and treatment challenging.


Common symptoms of lupus include extreme fatigue, joint pain, skin rashes, and sensitivity to sunlight. Many people also experience flare-ups—periods when symptoms worsen—followed by remissions when they improve. One of the hallmark signs of lupus is the “butterfly rash,” a red rash that appears across the cheeks and nose. However, not everyone with lupus develops this symptom.


The exact cause of lupus remains unclear, but researchers believe it results from a combination of genetic, hormonal, and environmental factors. Women, especially those of African, Asian, Hispanic, or Indigenous descent, are disproportionately affected, with most cases developing between the ages of 15 and 45. Certain infections, medications, and even stress can trigger lupus in people who are genetically predisposed.


While there is no cure for lupus, medical advances have greatly improved outcomes. Treatment focuses on controlling inflammation, reducing immune system activity, and preventing organ damage. Common medications include corticosteroids, antimalarials such as hydroxychloroquine, and immunosuppressive drugs. Patients are also encouraged to maintain a healthy lifestyle—getting adequate rest, avoiding sun exposure, and managing stress can help reduce flare-ups.


Living with lupus can be physically and emotionally demanding, but with proper medical care and support, most people can lead active, fulfilling lives. Ongoing research continues to shed light on the disease, offering hope for better treatments—and eventually, a cure.

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