Systemic Lupus
Erythematosus (SLE) in Men
Lupus
also favors women disproportionately (9:1 female to male), but it is certainly
not exclusive.
Lupus
is an autoimmune disease that produces symptoms throughout the body. Autoimmune
diseases develop when the body's natural immune system charged with fighting
off invaders such as viruses and bacteria, mistakes healthy tissue as foreign
and mounts an attack. Antibodies, which are the immune cells at the center of
the attack, are somehow given faulty instructions. In the case of lupus, these
rogue self-attacking antibodies (autoantibodies) attack cells in the joints,
skin, kidneys, lungs, heart, blood vessels and blood. The cause is unknown but
certain environmental experiences and medical conditions seem to trigger the
disease in genetically susceptible people.
Why
Men too?
Sex-related
differences in genes and hormones are also likely at work to explain the
disparity between the sexes in lupus, but the picture is fuzzier than for
breast cancer. Men with lupus don't have abnormal levels of hormones such as
estrogen or testosterone. While it is not yet clear what's at play, men with
lupus may metabolize estrogen differently, making them more prone to the
disease.
What
Raises the Risk in Men?
The
factors that raise the risk in men are the same as those in women.
- Ultraviolet rays from the sun
or other sources
- Certain medications
particularly sun-sensitive antibiotics
- Recreational drugs
- Bacterial or viral infection
such a as cold or flu
- Emotional or bodily stress such
as pregnancy, surgery or trauma
What
Should Men Do?
Although
men experience similar symptoms, they are less likely to report them to their
doctor which delays diagnosis and risks more long-term damage to organs. The
autoantibodies that cause widespread inflammation and damage throughout the
body produce symptoms that depend on where the attack takes place. Although
lupus may not be the most logical explanation for many of these symptoms, it
makes sense to not dismiss them based on gender, especially since men tend to
get harder hit than women.
Here
are some of the more common symptoms of lupus in both men and women.
- Joint swelling and pain
- Muscle weakness
- Extreme fatigue
- Unexplained fever
- Butterfly-shaped red rash
across the bridge of the nose and cheeks
- Chest pain upon deep breathing
- Hair loss
- Purple fingers or toes when
cold (Raynaud's phenomenon)
- Sun sensitivity
- Leg swelling
- Eye puffiness
- Mouth sores
- Swollen glands
Although
there is no single test to confirm a diagnosis, a combination of many blood
tests and biopsy of affected tissue can point a finger to lupus. Steroids are
the mainstay of treatments but there are other effective strategies depending
on where in the body the attacks take place. Treatments focus on reducing
flare-ups, inflammation and pain.
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