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Is Lupus Contagious? Tips for


Identification and Prevention

Medically reviewed by Daniel Murrell, MD on January 12, 2018 — Written by


Stephanie Watson
 Causes
 Risk factors
 Signs and symptoms
 See your doctor
 Outlook
 Prevention
Is it contagious?

Lupus isn’t contagious. You can’t catch it from another person — even through
very close contact or sex. Experts think this autoimmune disease starts due to a
combination of genes and the environment.

Lupus affects nearly 1.5 million Americans. It develops when your immune


system misfires and attacks tissues like your joints, skin, kidneys, lungs, and
heart. This attack results in inflammation that can damage these organs.

Keep reading to learn more about why this happens, symptoms to watch for, and
how to reduce your risk.

What causes lupus?

Lupus is an autoimmune disease. That means your immune system mistakenly


turns against and attacks your own tissues.
Normally, your immune system protects your body against foreign invaders like
bacteria and viruses. When it detects these germs, it attacks with a combination
of immune cells and specific proteins called antibodies. In an autoimmune
disease, your immune system mistakes your own tissues — such as your skin,
joints, or heart — as foreign and attacks them.

Experts think a few different factors trigger this immune system assault,
including:

 Your genes. Lupus sometimes runs in families. Researchers have


found more than 50 genes that they believe are linked to the condition.
Although most of these genes are unlikely to cause lupus alone, they may
make you more vulnerable to developing lupus if you’re exposed to other
risk factors.
 Your environment.If you have lupus, certain factors around you can set
off your symptoms. This includes ultraviolet light from the sun, infections
such as the Epstein-Barr virus, and exposure to certain chemicals
or medicationsTrusted Source.
 Your hormones.Because lupus is much more common in
women, researchers suspect female hormones may have something to do
with the disease. Women do tend to have worse symptoms before their
menstrual periods, when estrogen levels rise. However, the link between
estrogen and lupus has not been proven.

Who’s at risk for developing lupus?

You’re more likely to develop lupus if:

 You’re female. Nine times more women than men have lupus.


 You’re between the ages of 15 and 44. This is the age range at which
lupus most often starts.
 One of your close relatives — like a parent or sibling — has lupus or
another autoimmune disease. These conditions tend to run in families.
People whose relatives have lupus have a 5 to 13 percent risk of
developing the disease.
 Your family is of African-American, Asian, Hispanic, Native American, or
Pacific Island descent. Lupus is more common in these groups.

Symptoms to watch for

Just about everyone experiences lupus differently. One thing that is consistent is
the pattern of symptoms.

You’ll typically have periods when your symptoms worsen (flares) followed by
relatively symptom-free periods (remissions).

Common symptoms include:

 extreme fatigue
 joint pain, stiffness, or swelling
 fever
 headaches
 a butterfly-shaped rash across your cheeks and nose
 increased sensitivity to sunlight
 hair loss
 toes that turn white or blue when they’re exposed to cold
 chest pain
 shortness of breath
 hair loss
 sores in your mouth or nose
It’s important to note that many of these symptoms appear with other diseases,
including fibromyalgia, Lyme disease, and rheumatoid arthritis. That’s why lupus
is sometimes called “the great imitator.”
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When to see your doctor

If you’re experiencing symptoms like extreme fatigue, joint pain, rash, or fever,
see your doctor for a diagnosis.

No one test can tell for sure whether you have lupus. However, there is a test
that can identify autoimmune diseases in general. It’s called an antinuclear
antibody (ANA) test. It looks for antibodies directed against your body tissues
that are produced in certain autoimmune diseases. Detection of other antibodies
will suggest a diagnosis of lupus.

Once your doctor knows you have an autoimmune disease, blood and urine tests
can help pinpoint which condition you have. These tests look for signs of lupus
like kidney and liver damage. Sometimes, your doctor will recommend a biopsy,
or tissue sample, to diagnose lupus.

What can you expect if a diagnosis is made?

Once a diagnosis has been made, your doctor will work with you to develop a
treatment plan. Your individual plan will depend on which symptoms you have
and how severe they are.

Medication is usually prescribed to help reduce inflammation and dampen the


overactive immune system response that causes your symptoms.

Your doctor may prescribe:

 nonsteroidal anti-inflammatory drugs (NSAIDs), like ibuprofen (Advil)


and naproxen (Aleve), to treat pain and joint swelling
 antimalarial drugs, such as hydroxychloroquine (Plaquenil), to help control
the immune system response
 corticosteroids, like prednisone, to help reduce inflammation
 immunosuppressants, such as azathioprine (Imuran) and methotrexate, to
help lower your immune system response

It might take some trial and error to find the treatment that best relieves your
symptoms.

Because this disease affects so many body parts, a number of doctors could be
involved in your care. This includes a:

 rheumatologist, a specialist who treats joint diseases and autoimmune


diseases in general
 dermatologist, a specialist who treats skin diseases
 cardiologist, a specialist who treats heart diseases
 nephrologist, a specialist who treats kidney diseases

The outlook for lupus varies from person to person. Today, with the right
treatment, most people with lupus can live long and full lives. Following your
treatment plan and taking your medicine as prescribed can help prevent your
symptoms from coming back.

Can you prevent lupus?

You can’t necessarily prevent lupus, but you can avoid the factors that trigger
your symptoms. For example, you can:

 Limit your time in direct sunlight if sun exposure causes a rash. You should
always wear a sunscreen with an SPF of 70 or higher that blocks both
UVA and UVB rays.
 Try to avoid medications, if feasible, that make you even more sensitive to
the sun.Trusted Source This includes the antibiotics minocycline (Minocin)
and trimethoprim-sulfamethoxazole (Bactrim), and diuretics such as
furosemide (Lasix) or hydrochlorothiazide.
 Develop stress management techniques. Meditate, practice yoga, or get
massages — whatever helps calm your mind.
 Stay away from people who are sick with colds and other infections.
 Get enough sleep. Go to bed early enough each night to guarantee
yourself seven to nine hours of rest.
 17 sourcescollapsed


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