Systemic Lupus Erythematosus (SLE)

Overview


Plain-Language Overview

Systemic Lupus Erythematosus (SLE) is a chronic autoimmune disease that can affect many parts of the body, including the skin, joints, kidneys, and other organs. It occurs when the immune system mistakenly attacks healthy tissues, causing widespread inflammation and damage. Common symptoms include fatigue, joint pain, skin rashes, and fever. The disease can vary greatly in severity and may cause serious complications such as kidney failure or heart problems. Because it affects multiple body systems, it is considered a systemic condition. Diagnosis often involves blood tests and clinical evaluation of symptoms. Management focuses on controlling symptoms and preventing organ damage.

Clinical Definition

Systemic Lupus Erythematosus (SLE) is a chronic, multisystem autoimmune disorder characterized by the production of autoantibodies against nuclear and cytoplasmic antigens, leading to immune complex deposition and inflammation in various tissues. The pathogenesis involves a combination of genetic predisposition, environmental triggers, and immune dysregulation, including defective clearance of apoptotic cells and loss of self-tolerance. Major clinical features include malar rash, arthritis, serositis, renal involvement (lupus nephritis), hematologic abnormalities, and neurologic symptoms. The disease predominantly affects women of childbearing age and can cause significant morbidity due to organ damage. Immunologic markers such as antinuclear antibodies (ANA) and anti-double-stranded DNA antibodies are hallmarks. The clinical course is typically relapsing and remitting, requiring careful monitoring.

Inciting Event

Locked content

Latency Period

Locked content

Diagnostic Delay

Locked content

Clinical Presentation


Signs & Symptoms

Locked content

History of Present Illness

Locked content

Past Medical History

Locked content

Family History

Locked content

Physical Exam Findings

Locked content

Diagnostic Workup


Diagnostic Criteria

Locked content

Pathophysiology


Key Mechanisms

Locked content

Organs

Locked content

Tissues

Locked content

Cells

Locked content

Chemical Mediators

Locked content

Treatments


Pharmacological Treatments

Locked content

Non-pharmacological Treatments

Locked content

Prevention


Pharmacological Prevention

Locked content

Non-pharmacological Prevention

Locked content

Outcome & Complications


Complications

Locked content

Short-term Sequelae

Locked content

Long-term Sequelae

Locked content

Differential Diagnoses


Differentials

Locked content

Medical Disclaimer: The content on this site is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. If you think you may be experiencing a medical emergency, call 911 or your local emergency number immediately. Always consult a licensed healthcare professional with questions about a medical condition.

Artificial Intelligence Use: Portions of this site’s content were generated or assisted by AI and reviewed by Erik Romano, MD; however, errors or omissions may occur.

USMLE® is a registered trademark of the Federation of State Medical Boards (FSMB) and the National Board of Medical Examiners (NBME). Doctogenic and Roscoe & Romano are not affiliated with, sponsored by, or endorsed by the USMLE, FSMB, or NBME. Neither FSMB nor NBME has reviewed or approved this content. "USMLE Step 1" and "USMLE Step 2 CK" are used only to identify the relevant examinations.