Autoimmune Disease

Systemic Lupus Erythematosus

SLE — A chronic, multisystem autoimmune disorder

Overview

What is SLE?

Systemic Lupus Erythematosus is a complex, chronic autoimmune disease in which the immune system attacks healthy tissue throughout the body. It produces autoantibodies — most notably anti-nuclear antibodies (ANA) and anti-dsDNA — that form immune complexes, triggering widespread inflammation. The hallmark butterfly (malar) rash across the cheeks and nose gives the disease its name: lupus (Latin for wolf) and erythematosus (redness).

Clinical Presentation

Signs & Symptoms

SLE can affect virtually every organ system. Symptoms vary widely among patients and fluctuate over time.

Currently Licensed States:

Systemic Involvement

Organs Affected

Cardiovascular

Pericarditis, Libman-Sacks endocarditis

Pulmonary

Pleuritis, pneumonitis, pulmonary hypertension

Neurological

Seizures, psychosis, peripheral neuropathy

Renal

Lupus nephritis in up to 50% of patients

Diagnosis

SLICC Criteria

≥4 of 11 clinical + immunological criteria, OR biopsy-proven lupus nephritis with ANA/anti-dsDNA

Laboratory Tests

Key Investigations

Pathophysiology

Disease Mechanism

1


Genetic susceptibility

HLA-DR2/DR3, complement deficiencies (C1q, C4), IRF5, STAT4 gene polymorphisms increase risk.

2


Triggering factors

UV light, infections (EBV), hormonal changes, and drugs (procainamide, hydralazine) can precipitate disease.

3


Autoantibody formation

B cells produce ANA, anti-dsDNA, and other autoantibodies. T helper cells and type I interferons amplify the response.

4


Immune complex deposition

Autoantibody-antigen complexes deposit in tissues — kidneys, skin, vessels — activating complement and causing inflammation.

5


End-organ damage

Persistent inflammation leads to fibrosis and functional impairment of target organs if disease remains uncontrolled.

Ready to Take the First Step?

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