Systemic Lupus Erythematosus

by Andrew Pacholyk, MS, L.Ac.

Systemic lupus erythematosus is a chronic, often life-long, autoimmune disease that ranges from mild to severe and afflicts mostly women. The primary characteristics of the disease are fatigue, joint pain, and recurrent injuries in the vessels that course through the body. Systemic lupus erythematosus (SLE) may affect widespread sites, but it often manifests in the skin, joints, blood, and kidneys. SLE was first described in 1828. Its name includes "lupus," from the Latin term for wolf, because the disease often produces a rash that extends across the bridge of the nose and upper cheekbones and was thought to resemble a wolf bite. The term erythematosus (from the Greek word for red) refers to the color of the rash, and the term systemic is used because the disease can affect organs and tissue throughout the body.

Lupus is a chronic, often life-long, autoimmune disease that ranges from mild to severe and afflicts mostly women. The primary characteristics of the disease are fatigue, joint pain, and recurrent injuries in the vessels that course through the body. Systemic lupus erythematosus (SLE) may affect widespread sites, but it often manifests in the skin, joints, blood, and kidneys. SLE was first described in 1828. Its name includes "lupus," from the Latin term for wolf, because the disease often produces a rash that extends across the bridge of the nose and upper cheekbones and was thought to resemble a wolf bite.

The term erythematosus (from the Greek word for red) refers to the color of the rash, and the term systemic is used because the disease can affect organs and tissue throughout the body.

Treatment of SLE varies depending on the extent and severity of the disease. Many therapies can suppress symptoms and relieve discomfort. Milder treatments are usually effective for symptoms such as fever, arthritis, pleurisy, mild kidney involvement, inflammation of the tissue surrounding the heart, headaches, and rash. More aggressive treatment is needed if there is serious disease progression, evidenced by the following: hemolytic anemia, low platelet count with an accompanying rash (thrombocytopenic purpura), major involvement in the lungs or heart, significant kidney damage, acute inflammation of the small blood vessels in the extremities or gastrointestinal tract, or severe central nervous system symptoms.

Consider this:

Patients have reported benefits from certain herbs, such as Essiac Tea (used in tea and other preparations).

White Willow Bark is a good anti-inflammatory that works like aspirin (it is an ingredient in aspirin) with out side effects to the stomach or gastrointestinal tract.

Cultivating a healthy diet low in saturated fats and high in whole grains and fresh vegetables and fruits is essential. Obtaining most proteins from vegetables, particularly soy, and avoiding dairy and meat products may help protect the kidneys.

Patients should take extra calcium (1500 mg in divided doses, a.m./p.m.) and vitamin D, particularly if they are on corticosteroids. Supplements of vitamins B12, B6, and folate may be necessary, especially in people whose blood tests show high levels of homocysteine. According to some studies, a diet rich in fruits and vegetables can lower homocysteine levels. Homocysteines are a by product of protein digestion. A normal level of homocysteine is 9mg/dl or less. 800 micrograms a day of the B vitamin, folate, lowers homocysteine to normal levels.

Exercise is safe. Take it slow and at your own pace.

Certain Chinese herbal formulas and acupuncture have been very effective in treating symptoms and regulating the immune system. Seek out a qualified herbalist/acupuncturist in your area.

Studies on foods containing omega-3 fatty acids, including fish oil and flax seed, have been showing benefits for SLE patients. Take 1,000 mg of flaxseed or fish oil 2 times a day.

Researchers are also investigating compounds called indoles, also known as mustard oil, which are found in broccoli, cabbage, Brussels sprouts, cauliflower, kale, kohlrabi, collard and mustard greens, rutabaga, turnips, and bok choy. Indoles stimulate enzymes that convert estrogen to a more benign type. Eating vegetables certainly will not cure SLE, but they offer many health benefits in general.

Patients should minimize their exposure to crowds or people with contagious illnesses. Immunizations against influenza and pneumococcal pneumonia are usually recommended, although flu shots can cause flares. Careful dental hygiene is also important.

Simple preventative measures include avoiding overexposure to ultraviolet rays and wearing protective clothing and sun blocks.

Allergy shots, which increase certain SLE antibodies, should be avoided. In general, SLE patients should use only hypoallergenic cosmetics or hair products.

Chronic stress has profound physical effects and influences the progression of SLE. Patients should try to avoid undue emotional or physical stress. Getting adequate rest of at least 8 hours and possibly a nap during the day may be helpful. Maintaining social relationships and healthy activities help prevent the depression and anxiety associated with the disease.

Consider diffusing essential oils into the air such as Lavender, Clary Sage or Chamomile when stressed.