Systemic lupus erythematosus: CNS vasculitis | Radiology Case | Radiopaedia.org

Rheumatological markers for systemic lupus erythematosus (SLE) were positive and indicated active disease. Diagnosis of CNS vasculitis was made clinically and the risk of brain biopsy vs trial of steroids was weighed. The patient decided to tria…

Source: Systemic lupus erythematosus: CNS vasculitis | Radiology Case | Radiopaedia.org

Systemic Lupus Erythematosus Complications – Systemic Lupus Erythematosus Health Information – NY Times Health

Free articles and multimedia from The NY Times, including information on symptoms, diagnosis, treatments, tests, and surgical procedures, as well as current news and interviews with leading experts.

Systemic Lupus Erythematosus

Complications

Systemic lupus erythematosus (SLE) can cause systemic complications throughout the body.

COMPLICATIONS OF THE BLOOD

Almost 85% of patients with SLE experience problems associated with abnormalities in the blood.

Anemia. About half of patients with SLE are anemic. Causes include:

  • Iron deficiencies resulting from excessive menstruation
  • Iron deficiencies from gastro-intestinal bleeding caused by some of the treatments
  • A specific anemia called hemolytic anemia, which destroys red blood cells
  • Anemia of chronic disease

Hemolytic anemia can occur with very high levels of the anticardiolipin antibody. It can be chronic or develop suddenly and be severely (acute).

Antiphospholipid Syndrome. Between 34 – 42% of patients with SLE have antiphospholipid syndrome (APS). This is a specific set of conditions related to the presence of autoantibodies called lupus anticoagulant and anticardiolipin. These autoantibodies react against fatty molecules called phospholipids, and so are called antiphospholipids. Their actions have complex effects that include causing narrowing and abnormalities of blood vessels.

  • Patients who have APS have a very incidence of blood clots, which most often occur in the deep veins in the legs. Blood clotting, in turn, puts patients at higher risk for stroke and pulmonary embolism (clots in the lungs).

  • The effects on blood vessels have also been associated with confusion, headaches, and seizures. Leg ulcers can also develop.
  • Patients with APS who become pregnant have a high incidence of pregnancy loss, especially in the late term.

Not all patients with APS carry both of the autoantibodies, and they can also wax and wane and so have varying effects. APS also occurs withoutlupus in about half of patients with the syndrome.

Thrombocytopenia. In thrombocytopenia, antibodies attack and destroy blood platelets. In such cases, blood clotting is impaired, which causes bruising and bleeding from the skin, nose, gums, or intestines. (This condition can also occur in APS, but it is not considered to be one of the standard features of the syndrome.)

Neutropenia. Neutropenia is a drop in the number of white blood cells. Patients with SLE often neutropenia, but the condition is usually harmless unless the reductions are so severe that they leave the patient vulnerable to infections.

Acute Lupus Hemophagocyte Syndrome. A rare blood complication of SLE that occurs primarily in Asians is called acute lupus hemophagocytic syndrome. It is generally of short duration and characterized by fever and a sudden drop in blood cells and platelets.

Lymphomas. Patients with SLE and other autoimmune disorders have a greater risk for developing lymph system cancers such as Hodgkin’s disease and non-Hodgkin’s lymphoma (NHL).

HEART AND CIRCULATION COMPLICATIONS

Heart disease is a primary cause of death in lupus patients. The immune response in SLE can cause chronic inflammation and other damaging effects that can cause significant injury to the arteries and tissues associated with the circulation and the heart. In addition, SLE treatments (particularly corticosteroids) affect cholesterol, weight, and other factors that can also affect the heart.

Patients with SLE, have a higher risk for developing the following conditions, which put them at risk for heart attack or stroke:

  • Atherosclerosis, or plaque buildup in the arteries
  • Increased stiffness in the arteries
  • Unhealthy cholesterol and lipid (fatty molecules) levels
  • High blood pressure, most likely because of kidney injury and corticosteroid treatments
  • Heart failure
  • Pericarditis, an inflammation of the tissue surrounding the heart
  • Myocarditis, an inflammation of the heart muscle itself (rare)
  • Abnormalities in the valves of the heart (rare)
  • Blood clots

The risk for cardiovascular disease, heart attack, and stroke is much higher than average in younger women with SLE. The risks decline as such women age.

LUNG COMPLICATIONS

SLE affects the lungs in about 60% of patients:

  • Inflammation of the membrane lining the lung (pleurisy) is the most common problem, which can cause shortness of breath and coughing.
  • In some cases, fluid accumulates, a condition called pleural effusion.
  • Inflammation of the lung tissue itself is called lupus pneumonitis. It can be caused by infections or by the SLE inflammatory process. Symptoms are the same in both cases: fever, chest pain, labored breathing, and coughing. Rarely, lupus pneumonitis becomes chronic and causes scarring in the lungs, which reduces their ability to deliver oxygen to the blood.
  • A very serious and rare condition called pulmonary hypertensionoccurs when high pressure develops as a result of damage to the blood vessels of the lungs.

KIDNEY COMPLICATIONS (LUPUS NEPHRITIS)

The kidneys are a crucial battleground in SLE because it is here that the debris left over from the immune attacks is most likely to be deposited. Also, the immune response can also attack different parts of the kidney causing damage. About 50% of patients with SLE exhibit inflammation of the kidneys (called lupus nephritis).This condition occurs in different forms and can vary from mild to severe. Poor kidney function and kidney failure may result from this damage.

Serious complications occur eventually in about 30% of patients. If kidney injury develops, it almost always occurs within 10 years of the onset of SLE, rarely after that.

CENTRAL NERVOUS SYSTEM COMPLICATIONS

Nearly all patients with SLE report some symptoms relating to problems that occur in the central nervous system (CNS), which includes the spinal cord and the brain. CNS involvement is more likely to occur in the first year, usually during flare-ups in other organs.

Symptoms vary widely and overlap with psychiatric or neurologic disorders. They may also be caused by of some medications used for SLE. Central nervous system symptoms are usually mild, but there is little effective treatment available for them. CNS symptoms get worse as the disease progresses.

The most serious CNS disorder is inflammation of the blood vessels in the brain (vasculitis), which occurs in 10% of patients with SLE. Fever, seizures, psychosis, and even coma can occur. Other CNS side effects include:

  • Irritability
  • Emotional disorders (anxiety, depression)
  • Mild impairment of concentration and memory
  • Migraine and tension headaches
  • Problems with the reflex systems, sensation, vision, hearing, and motor control

INFECTIONS

Infections are a common complication and a major cause of death in all stages of SLE. The immune system is indeed overactive in SLE, but it is also abnormal and reduces the ability to fight infections. Patients are not only prone to the ordinary streptococcal and staphylococcal infections, but they are also susceptible to fungal and parasitic infections (called opportunistic infections), which are common in people with weakened immune systems. They also face an increased risk for urinary tract, herpes, salmonella, and yeast infections. Corticosteroid and immunosuppressants, treatments used for SLE, also increase the risk for infections, thereby compounding the problem.

GASTROINTESTINAL COMPLICATIONS

About 45% of patients with SLE suffer gastrointestinal problems, including nausea, weight loss, mild abdominal pain, and diarrhea. Severe inflammation of the intestinal tract occurs in less than 5% of patients and causes acute cramping, vomiting, diarrhea, and, rarely, intestinal perforation, which can be life-threatening. Fluid retention and swelling can cause intestinal obstruction, which is much less serious but causes the same type of severe pain. Inflammation of the pancreas can be caused by the disease and by corticosteroid therapy.

JOINT, MUSCLE, AND BONE COMPLICATIONS

Arthritis caused by SLE almost never leads to destruction or deformity of joints. The inflammatory process can, however, damage muscles and cause weakness. Patients with SLE also commonly experience reductions in bone mass density (osteoporosis) and have a higher risk for fractures, whether or not they are taking corticosteroids (which can increase the risk for osteoporosis). Women who have SLE should have regular bone mineral density scans to monitor bone health.

EYE COMPLICATIONS

Inflamed blood vessels in the eye can reduce blood supply to the retina, resulting in degeneration of nerve cells and a risk of hemorrhage in the retina. The most common symptoms are cotton-wool-like spots on the retina. In about 5% of patients sudden temporary blindness may occur.

SOCIOECONOMIC CONSEQUENCES

In one study, 40% of patients with SLE quit work within 4 years of diagnosis, and many had to modify their work conditions. Significant factors that predicted job loss included high physical demands from the work itself, a more severe condition at the time of diagnosis, and lower educational levels. People with lower income jobs were at particular risk for leaving them.

PREGNANCY AND SYSTEMIC LUPUS ERYTHEMATOSUS

Women with lupus who conceive face high-risk pregnancies that increase the risks for themselves and their babies. It is important for women to understand the potential complications and plan accordingly. The most important advice is to avoid becoming pregnant when lupus is active.

Research suggests that the following factors predict a successful pregnancy:

  • Disease state at time of conception. Doctors strongly recommend that women wait to conceive until their disease state has been inactive for at least 6 months.
  • Kidney (renal) function. Women should make sure that their kidney function is evaluated prior to conception. Poor kidney function can worsen high blood pressure and cause excess protein in the urine. These complications increase the risk for preeclampsia and miscarriage.
  • Lupus-related antibodies. Antiphospholipid and anticardiolipin antibodies can increase the risks for preeclampsia, miscarriage, and stillbirths. Anti-SSA and anti-SSB antibodies can increase the risk for neonatal lupus erythematosus, a condition that can cause skin rash and liver and heart damage to the newborn baby. Levels of these antibodies should be tested at the start of pregnancy. Certain medications (aspirin, heparin) and tests (fetal heart monitoring) may be needed to ensure a safe pregnancy.
  • Medication use during pregnancy. Women with active disease may need to take low-dose corticosteroids, but women with inactive disease should avoid these drugs. Steroids appear to pose a low risk for birth defects, but can increase a pregnant woman’s risks for gestational diabetes, high blood pressure, infection, and osteoporosis. For patients who need immunosuppressive therapy, azathioprine (Imuran) is an option. Methotrexate (Rheumatrex) and cyclophosphamide (Cytoxan) should not be taken during pregnancy.

Pregnancy Risks

Women with lupus are 20 times more likely to die during pregnancy than women without the disease. The risk for maternal death is due to the following serious conditions that can develop during pregnancy:

  • Miscarriages. About 25% of lupus pregnancies result in miscarriage. The risk is highest for patients with antiphospholipid antibodies, active kidney disease, or high blood pressure.
  • Blood clots. Women with lupus have a 6 times greater risk for developing deep vein thrombosis (blood clots) than women without the disease.
  • Clotting complications. Low blood platelet count and anemia are also risks. Women with lupus are 3 times more likely to need a transfusion during pregnancy than women without lupus.
  • Infections. Blood infections (sepsis), pneumonia, and urinary tract infections are more common in pregnant women with lupus.
  • Preeclampsia. Women with lupus are three times more likely than healthy women to develop preeclampsia (pregnancy-related high blood pressure), which can be potentially life threatening.
  • Birth Complications. Women with SLE have an increased risk of having a pre-term birth, stillbirth, or Caesarean section.

Despite these obstacles, many women with lupus have healthy pregnancies and deliver healthy babies. To increase the odds of a successful pregnancy, it is important for women to plan carefully before becoming pregnant. Be sure to find knowledgeable doctors with whom you can communicate and trust. Pregnant women with lupus should try to assemble an interdisciplinary health care team that includes a rheumatologist, high-risk obstetrician, and (for patients with kidney disease) a nephrologist.

Lupus Triggered By Head Injury – Doctor insights on HealthTap

Doctors help you with trusted information about Head Trauma in Head Injury: Dr. Khanna on lupus triggered by head injury: Head injuries can cause seizures if there is structural damage.

Source: Lupus Triggered By Head Injury – Doctor ins

Dr. John Rowlett

doctors agreed:
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Dr. James Dukelow

doctor shared a insight

Injuries (Definition)

An injury, of any severity, is a condition in which a person has damage to any part of his body. Examples of major injuries include gunshot wounds, knife wounds, large burns, severed …Read more

Dr. Axel Martinez-Irizarry

doctors agreed:
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What to do if emergency head injury!?

What to do if emergency head injury!?

Emergency Room: If you consider the injury to be severe, lost consciousness or have a severe headache, go to the Emergency Room where they can evaluate you and depending on the magnitude of the injury and symptoms do a Head CT scan…Read more

See 1 more doctor answer

3
Husband suffered head injury, what to do?

Husband suffered head injury, what to do?

Head injury: Treatment is based on the severity of the injury – with a skull fracture, significant loss of consciousness, nausea and vomiting and other findings the patient would need an extensive inpatient workup. Head injury without loss of …Read more

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Dr. Thomas Birdas

doctors agreed:

 

4
How is head injury detected by temperature?

How is head injury detected by temperature?

It’s not: That would not help at all in the diagnosis of head injury…Read more

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Dr. Samuel Mandell

doctor agreed:
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Could a head injury make someone feel sick?

Could a head injury make someone feel sick?

Yes: Nausea and vomiting can be caused by head injury and is generally a sign of more serious head trauma requiring medical evaluation. …Read more

Dr. Yash Khanna

doctors agreed:

 

6
What prognosis can we expect for a head injury?

What prognosis can we expect for a head injury?

Prognosis Head INJUR: Prognosis of any headinjury dependant on the extent of the injury. In children with uncomplicated minor head injuries the risk of intracranial bleeding over the next year is rare2 cases in million the incidence of head injury is …Read more

Dr. Jefferson Chen

doctors agreed:

 

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How can I keep someone with a head injury calm?

How can I keep someone with a head injury calm?

Medications: Frequently when a patient with a traumatic brain injury recovers he/she goes through different stages. Where he starts depends on the severity of the injury. The patients may have agitationand confusion as they improve. This is …Read more

Dr. Eric Weisman

doctor agreed:
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What are the signs of head injury with a child?

What are the signs of head injury with a child?

Many: Crankiness, sleepinessagitation, change in appetite, confusion, lapses, seizures can occur. Any change from the norm should prompt medical attention. …Read more

Dr. Justin ORourke

doctors agreed:

 

9
Will a single head injury have lifelong effects?

Will a single head injury have lifelong effects?

Depends on severity.: A moderate or severe head injurycan have lifelong effects, with the greatest amount of recovery happening within the first year after the injury. A mild injury (about 75-80% of tbis) are expected to make a nearly full recovery within 3 …Read more

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10
Please advise me what to do about a head injury?

Please advise me what to do about a head injury?

Concussion: Minor head injury should not cause symptoms, if you experience any symptoms like, headachedizziness, blurred visionmemory problem, nausea, balance issue, and sleep disturbances this may be because you have concussion …Read more

Dr. Eric Weisman

469 doctors shared insights

Head Trauma (Definition)

Any injury to the face, skull, or brain as a result of blunt force, or penetrating trauma. It can also occur due to rapid …Read more

Dr. Ihab Ibrahim

379 doctors shared insights

A Warning about White Matter Damage | Brain Injury Community

The largest collection of medical and legal information about traumatic brain injury on the web.

Source: A Warning about White Matter Damage | Brain Injury Community

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A Warning about White Matter Damage

I recently gave a lecture at the North American Brain Injury Society (NABIS) speaking about what many perceive as a wide spread problem in our health care system involving TBI. The problem is that most radiologists in the United States have decided they do not want to be involved in TBI cases. Why do I say this and what does it mean? Let me explain:
1. The most common method of brain injury in the world arising from trauma is called Diffuse Axonal Injury (DAI), this occurs when the brain is subjected to rapid acceleration or deceleration though a high speed motor vehicle accident, for example. We now know that DAI can and does occur in the full spectrum of TBI – from mild to severe. However, the fact that DAI occurs in mild to moderate TBI is a fairly recent finding and many radiologist were not trained to know this.
2. Radiologist, like other physicians, are suppose to attempt to identify the illness or cause of illness, through a process known as “differential diagnosis.” This is done by ruling out different possible causes of say an abnormality shown in the brain on MRI, until a proven cause can be found.
3. The problem arises when identifying an abnormality on brain MRI known as “white matter hyperintensities” (WMH). These small white areas on an MRI are what damage due to DAI looks like, but there are numerous other non-traumatic causes for WMH. These include: the aging process (starting at 45 to 50); smoking; high blood pressure; Lymes disease; Lupus; vasculitis; migraines, headaches, some mental disorders; and MS.
4. The problem is that currently a radiologist will identify WMH on an MRI following a patient’s trauma but will describe the findings as “non-specific.” That means that there are many causes for the abnormality – not that there is no abnormality. Sometimes following this statement the radiologist will give a short list of possible causes, most commonly “demyelinating disease” (MS), migraine, or ischemic disease (vascular degeneration). But what they will generally not say is that another possibility is trauma.
5. It is therefore imperative that someone who has suffered a TBI and has ongoing symptoms for more than six months to be certain that the brain MRI is not showing an undiagnosed TBI. How do you do this? Certainly if a person is under the age of 45, and has no history of the above conditions, than trauma should be suspected. A comprehensive blood test can be ordered which can help rule in or rule out certain autoimmune diseases, Lyme disease, Lupus, and other possible causes.
6. It is also important for your treating physician to talk to you about where these WMH’s are in your MRI. Location is vitally important in determining the cause of WMH. If they are described as being located in the “deep white matter” then they are less likely to be caused by trauma than by one of the above conditions. However, if they are located at the gray-white junction, than trauma should be suspected. Brain injury occurs in this region due to the differential indensity between the gray matter (which is like the thick skin of a grapefruit) and the white matter, which are the long fibers that connect different areas of the brain together (the inside of the grapefruit). Because of this differential, when the brain is twisted or shaken the white matter often shows damage close to this area. In fact, a recent study in China of over 700 healthy 60 to 64-year olds showed zero WMH within four millimeters of the gray white junction. We can therefore infer that following a trauma, abnormalities found in this region are due to trauma. Even if 10% of the WMH are in this area, it would be consistent with trauma. Be aware that your treating radiologist and/or lawyer will not be aware of this information.
What can be done? A film can be reread by another radiologist. A better scan of the brain can be obtained. By this I mean an MRI that has a 3.0 teslor magnet instead of a 1.5. an MRI that includes Susceptibility Weighted Imaging (SWI), as well Diffuse Tensor Imaging (DTI). SWI can identify tiny microhemorrhages in the brain which not coincidently, look like WMH. Survivors of severe brain trauma can have hundreds of these microhemorrhages show up on SWI, whereas zero or only a few show up on standard MRI. DTI looks at white matter injury and a description of DTI can be found elsewhere on the website.
The single most important thing in brain injury litigation is objectification of injury. Once there is a picture of damage to the brain, the tables are turned on the insurance company. They can no longer call the victim crazy, a liar, a drug addict so easily. A picture is indeed worth a thousand words.

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Personal Stories & Blogs by People with TBI | BrainLine

Other brain injury survivors have a special wisdom a wisdom gaine,d from unique experiences, priceless to others in similar situations. Here you will find stories of hope and joy, fear and frustration — shared in the hope that others with brain injury will see reflections of their own lives and know they are not alone.

Source: Personal Stories & Blogs by People with TBI | BrainLine

Every Little Thing You Do Hugh Rawlins
July 17, 2017
There are no guarantees, but there are smart choices and strategies that can optimize recovery after TBI. The following is a list I compiled as my answer to the many people in the beginning stages of TBI who have asked about my success over the years. I hope it helps.
David Grant: The Lingering Effects of Brain Injury
August 4, 2017
I can’t believe that I’m coming up on seven years out. As time continues to pass, my perspectives change, and my insight deepens. Sometimes I forget that those close to me still hurt. In the reflection of their inner pain, I see my injury for what it really is.
David A. Grant blogs about life after brain injury

BrainLine is incredibly lucky to collaborate with a group of outstanding bloggers willing to share their ups and downs, insights, and honest moments of both despair and hope.

Adam at Ease

Adam at Ease: A TBI Video Blog by Army Veteran Adam Anicich
Adam Anicich, Army Veteran

Adam, a former Army Sergeant and polytrauma patient, shares his story— along with some practical tips for managing life post-TBI.

David
David A. Grant, TBI Survivor

A bike ride on a fall day in New England turned out to be anything but typical. I never expected to be rushed by ambulance to the nearest trauma center with a traumatic brain injury …

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Lupus is Killing Me – 20+ Positive Thoughts Helps Me Survive | Motivation | SuccessStory

Lupus is a chronic, autoimmune disease that can damage any part of the body (skin, joints, and/ or organ inside the body). Chronic means that the signs and symptoms tend to last longer than six week and often for many years.

Source: Lupus is Killing Me – 20+ Positive Thoughts Helps Me Survive | Motivation | SuccessStory

Lupus is Killing Me, Positive Thoughts Helps Me Survive

Lupus is a chronic, autoimmune disease that can damage any part of the body (skin, joints, and/ or organ inside the body). Chronic means that the signs and symptoms tend to last longer than six week and often for many years. To be honest, I have never knew about this before until 10 years ago I heard one of my friends struggled to live due to Lupus.

1. Professional career

001

Make You a Highly Successful Professional

Let’s name my friend with Erick (37 years old). We had attended the same university studying the same major and we have never met again until now after the graduation ceremony. Everyone knows Erick as a nice and diligent guy.

After college, he begun his professional career in a huge pharmaceutical company for two or three years. He used to share his working experience to all of us, his college friends, through a mailing list. But suddenly he disappeared for couple of times and came back with new stories that we never expected.

2. Be Responsible

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At first he told us about the nose bleeding that made him inconvenience at work. Then his body became weak and weak over times. While he had to struggle to the disease that he suffered, he was still active work and tried to finish all the task given and was still responsible to his duty.

Fainting was something that often happen to him during the early period. The insurance from his office was almost exceeding the limits but the pain was still continue. We never had an idea about the disease he suffered, until a doctor diagnosed him with Lupus.

3. Committed to Your Goal

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Success Tips To Achieve Your Goals

Had been shocked, of course. Lupus is not kind of an illness that will get over on a few days. As Erick had started to adapt this condition, another complication came up, his sight became lesser and lesser all the time. He was no longer working in any company again but he never surrender to his pain, never.

Loosing his sight doesn’t mean he loose all the world, otherwise, this condition inspired him to invlove actively in a foundation dedicated to blind people. He gave seminar about Lupus, took the initiative in blood donation activities, and held many social/ charity events to gain fund in order to keep the foundation he involves in running. He never stop motivating people; either they’re blind or not, either they’re form a lupus or not.

4. Ask Yourself

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Maintain That Positive Attitude In Life

Everyday was like a brand new day for him. He learned many things new to help him coping his situation eversince. His spirit was just like a machine driven him to the new stage of his life. Yes, medical care helps him go through all of these for sure, but the most important thing that we can learn from him is his attitude toward his condition.

He never blame on anyone nor God for what happened to him. Rather, he thank God for the ‘second chance’ to be a better man. He found the positive side of his life by thinking positive things he own. He believe that being positive is his choice; positive in terms of thinking, attitudes, and behaviors.

5. Progress in Work

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Work with Integrity

There are around 5 million people all over the worldlive with Lupus. It strikes mostly women age 15 – 44. However, children, teenagers, and men develop Lupus too. Compare to Caucasians, women of color are two to three times more likely to develop lupus. People of all races and groups of ethnic can develop Lupus.

With regards to the treatment, people who diagnosed having Lupus symptoms may need a family doctor, rheumatologist, clinical immunologist, nephrologist, hematologist, dermatologist, neurologist, cardiologist, endocrinologist, occupational therapist, nurses, psychologist, and social worker.

6.  Discover Your Passion

passion

What’s The Life Purpose of Most Successful People?

We have read the story Erick, a 35 years old man with Lupus. He had shown to us his courage against all the symptoms, pains, and inconvenience feeling due to Lupus. Keeping positive thoughts is the key for him to survive and go trhough it all.

But what exactly the things we must do when we found there is someone around us suffering Lupus? What should they do to deal with this illness?Or, if it’s you, what are you going to do? Please find below some tips might be useful:

  • Accept the reality of having Lupus. Denial will only make it worse. By accepting the condition, you will be in a mind and spiritual state that allows you to move forward instead of stuck in a moment.
  • Find the strength point of yourself. Find something that you never thought before and utilize it to boost your energy to reach your dream. Remember, don’t be surprised when you realize that you have to change your dreams. Changes are somethings that we can not avoid in this life.
  • Find or form a self help group to share your experiences, stories, and take time to listen to others as well. Knowing that you are not alone and surrounded by people similar to you, facilitated by an expert and wise person, will help you reducing your negative feelings.
  • Put attention to your medical care. Lupus deals with physical symptoms and you need medicine to keep you active all over the time.
  • Follow what the experts say, if you need a diet, do it. If you need a low impact exercise, do it.
  • Do not smoke and take enough time to rest your body and soul. Though being positive and active is good, but do not push yourself too hard.
  • Take time to pray and talk to God. This is the way for you to find a peace after all the hard times you’ve been through.

Last but not least, most people with Lupus can live normally or having a near-normal life span. It depends on how severe the disease is. For Erick, living his life as he lives nowadays is another gift from God. All he needs to do is keeping his thoughts, attitudes, and behaviors positively. As he said, “Lupus is killing me, positive thoughts help me survive.”

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15 Years Later: How My Life Was Changed By Lupus

A personal account of one woman’s diagnosis with lupus 15 years ago and how she has made her life happy, meaningful and wonderful while managing lupus.

Source: 15 Years Later: How My Life Was Changed By Lupus

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A Life Interrupted by Lupus

“You have lupus.”

My doctor’s words cut through the air in the stark white of her examination room, and right through my soul.  Now it was real.  All the questions, the mystery, all of it just slipped away.  Instead a panic swelled inside my heart.

I looked down at my feet dangling from the table.  My jeweled aqua blue flip flops and the bright pink of my pedicure contrasted so vividly with my summer tan.  My doctor continued to speak, but to me her words were nothing more than a jumbled mess.  The white paper crinkled under my thighs as I moved to peer out the window.   There was a gentleman with a hot dog cart on the corner.  A gardener tending to flowers maybe twenty yards away to the right.  Dozens of cars turning in all different directions; so many people with things to see and do, going about the everyday of life.

What I would have given at that moment to know the oblivion and simplicity of the everyday.

This day, my diagnosis day, began like any other.  It was 1998, and an unusually humid July morning had morphed into a mercilessly hot afternoon.  Ironically what started so ordinarily would conclude extraordinarily.  There would be a new “everyday” to get used to.  There would be lots of pain and uncertainty.  I was twenty five years old, with big dreams on my mind and big experiences on my horizon; like travel and education and love.  Yes, big dreams and big experiences.  But that was before lupus.  This new reality would require adjustments and acceptance: an acceptance of my situation and of me, if I was going to live happily, peacefully and successfully.

To start from the beginning, I need to go back ten months from the day of my diagnosis.  My symptoms revealed themselves gradually.  At first it was a persistent fatigue; that annoying, so-easy-to-dismiss symptom we all experience from time to time.  But it just wouldn’t go away.  The annoying quickly became scary when I couldn’t lift my arms above my head, or lift my head from the pillow.  I then developed an odd sensitivity to certain stimuli.  Odors, bright lights and loud noises would make me sick.  One day, while running errands, I spied a zigzag pattern on a woman’s dress.  Just looking at her was enough to keep me in bed for days; I suffered from nausea and debilitating headaches.   Eventually my symptoms graduated to joint pain and swelling.  Months later, red blisters peppered my cheeks, and red, dry patches popped up on my arms, scalp, chest and back.  My mouth would bleed, and I would feel exceptionally ill and tired after only ten minutes outside under the winter sun.   I experienced hair loss; not random patches falling out but instead a general overall thinning first noticed when my barrettes slipped out so easily.

Finally in June of 1998, I experienced fluid retention that went way beyond the usual hormone fluctuations or indulgence in overly salty food.  The edema and discomfort persisted, and my doctor began to suspect the possibility of autoimmune disease, lupus specifically.  My blood pressure was rising and there was protein in my urine, all signs pointing to kidney problems.  With an urgency I hadn’t seen in her before, she ordered a battery of tests, imploring me to get them done as soon as possible.  All came back in time for that July appointment, and all revealed a myriad of issues, collectively confirming a lupus diagnosis.  My blood showed anemia and a very low white blood cell count.  The standard anti-nuclear antibody test and anti-DNA antibody test were positive, suggesting lupus.  The realization finally came when biopsies of my skin and kidney revealed deposits of antibodies in my tissues.

Here I am, nearly fifteen years later.  Since that fateful day, I have had my moments of stable health and normal immune functioning, but I have had many periods of brutal flares.  When it happens, lupus decides to make me extremely tired.  It settles into my joints, making simple movements and activities nearly impossible.  I sometimes suffer from pleuritis and pericarditis, making it difficult to breathe or feel energetic; but overall, it is my kidney function that suffers consistently.  The unpredictable nature of lupus has forcibly shaped my choices, too.  I have had to rethink things like graduate school, career paths and pregnancy, choices that have proven painful at times.  Thankfully, I have found joy and opportunity in other aspects of my life.

Conventional drug therapies have not been helpful in my case.  Side effects have been difficult to deal with, and some drugs have been cost prohibitive.  Early on in this journey I tried steroids, prednisone specifically.  I experienced weight gain and other changes in my appearance, and I really wasn’t feeling better.  Anti-malarial therapies were suggested, but side effects were a concern.  My most recent attempts with conventional drugs included immunosuppressive therapy.  I tried CellCept for several months.  The aggressive regimen did nothing to improve my symptoms.  It made me very sick and its cost was considerable.  It simply wasn’t reasonable to continue.

Despite the failure of conventional medications in my case, there are things that have worked for me, and have worked very well.  I have an awesome, driven and dedicated primary doctor who stays on top of the latest research, and coordinates all my care with colleagues she knows and trusts.   In addition to being female, she is also young, and I believe that common ground we share means everything in the success of our communication.  Having her in my corner is healing, more than words can truly express.  I also have the love of a wonderful spouse and mom.  My friends understand as best they can, and it means a lot.  And I have two beautiful, love bug pups who comfort me with every wet, loving kiss.

I do the usual things that we lupus folks should do to feel better and stronger.  I make sure I get the rest I need.  I stay out of the sun.  I avoid alcohol, and I try to stick to simple, easily digestible foods that don’t tax my system.  I try to limit my sugar intake, prescribe to a mostly vegetarian diet, and place an emphasis on healthy fats.

Acupuncture has worked wonders in managing what I call my “secondary” ailments.  When I receive consistent treatment I sleep more deeply and my digestion is better; my pain is lessened and overall I feel that my emotions are stronger and my life feels less heavy.  I am also working hard at mastering the art of letting go.  Letting go of things like toxic relationships, being rigid, and trying to be perfect.  Because if lupus teaches you only one thing, it teaches you that life doesn’t always go as planned.

I also created my own career.  After way too many flares and dark days, I had to have a complete say over my hours and workload.  In February 2012 I launched my happy and healthy living blog, and in August 2012 I independently published my first book.  I have many more planned, and the future looks bright.  It is empowering to know that I am my own boss.  The freedom allows me to embrace my good days and better manage my bad ones.

What is the best medicine of all?   Gratitude for everything that is good in my life. Knowing I matter, and accepting the reality of lupus as part of my journey.  I realize now that perceived limitations are only that, perceived.  Ultimately, lupus opened doors I never thought possible, and gave me chances I never saw coming.  It has been quite an evolution.  Once a scared twenty-something, I am now a soon-to-be forty-something with a growing wisdom and appreciation for the things that count.

And I’m still here.

Strong and confident.

Full of life.

 

About the Author
Allyson Clayton launched her happy and healthy living blog Love Your Dash in February 2012, and in August 2012 independently published her first book: The Word Is Love – Lessons In Self-Acceptance, Relationships & Other Things That Really Matter.  She lives, laughs and loves in Northern California with her amazing husband and canine children Jack and Grace.  To learn more about Allyson and her work, visit www.loveyourdash.com.

 

This post contains opinions of the author.  AutoimmuneMom.com is not a medical practice and does not provide medical advice, diagnosis, or treatment.  It is your responsibility to seek diagnosis, treatment, and advice from qualified providers based on your condition and particular circumstances.  Camino Real Ventures, Inc., the company that makes AutoimmuneMom.com available to you, does not endorse nor recommend any products, practices, treatment methods, tests, physicians, service providers, procedures, clinical trials, opinions or information available on this website.  Your use of the website is subject to our Terms of Use and Privacy Policy

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Comments

  1. Your post was music to my ears and therapy for my brain! I was hospitalized twice since January 19th 2013 with fluid around my heart and lungs. My pulmonologist mentioned Mixed Connective Tissue Disease, but have not been given a diagnosis. I see an Immunologist on May 7. This has been a long anlife,inter

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Our stories, our struggles, and our triumphs in the fight against lupus. Chris was our featured Story of Hope at our 2013 gala fundraiser, Serving Up Style.

Source: Molly’s Fund Stories of Hope – Molly’s Fund

 

 

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