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Are People with Lupus Sick a Lot?

Published in Lupus Health Management 3 mins read

Yes, individuals living with lupus often experience a higher frequency of illness, primarily due to an increased susceptibility to infections. Lupus is an autoimmune disease where the body's immune system mistakenly attacks its own healthy tissues. This underlying condition, along with the medications used to manage it, can significantly weaken the immune system, making people more vulnerable to various infections and their related complications.

Understanding Increased Susceptibility

The immune system's role is to defend the body against foreign invaders like bacteria, viruses, and fungi. In lupus, this system is compromised in two key ways:

  • The Disease Itself: Lupus causes chronic inflammation and can directly impair immune function.
  • Medications: Many common lupus treatments, such as corticosteroids and immunosuppressants, are designed to suppress the overactive immune response. While essential for managing lupus symptoms, this suppression also reduces the body's ability to fight off infections effectively.

This double impact makes people with lupus more prone to getting sick and may lead to more severe or prolonged illnesses compared to the general population.

Common Infections and Their Impact

People with lupus are more likely to encounter certain types of infections. Recognizing these can help in early detection and management.

Types of Frequent Infections

The most common infections affecting individuals with lupus often target specific body systems:

  • Respiratory Tract Infections: This includes illnesses like the common cold, flu, bronchitis, and pneumonia. Given the weakened immune response, these can become more severe or lead to complications more readily.
  • Skin Infections: Issues such as bacterial infections, fungal rashes, or cellulitis can occur, often requiring prompt medical attention.
  • Urinary System Infections (UTIs): Urinary tract infections are also common and can range from bladder infections to more serious kidney infections if left untreated.

Beyond these common types, people with lupus may also be at higher risk for opportunistic infections that typically don't affect individuals with healthy immune systems.

Infection Type Common Examples Potential Impact (without prompt care)
Respiratory Tract Colds, Flu, Bronchitis, Pneumonia Prolonged illness, hospitalisation, severe complications
Skin Bacterial skin infections, Fungal rashes, Cellulitis Spreading infection, scarring, pain
Urinary System Bladder infections, Kidney infections (Pyelonephritis) Kidney damage, systemic infection

Strategies for Managing Health with Lupus

While increased susceptibility to illness is a reality for many with lupus, proactive steps can help manage health and reduce the frequency and severity of infections.

Proactive Measures

  • Vaccinations: Staying up-to-date with recommended vaccinations, including the annual flu shot and pneumonia vaccine, is crucial. Consult your doctor about specific vaccines appropriate for you.
  • Hygiene Practices: Regular handwashing, especially before eating and after being in public places, can significantly reduce exposure to germs.
  • Avoiding Exposure: Try to avoid close contact with people who are sick, especially during peak cold and flu seasons.
  • Healthy Lifestyle: Maintaining a balanced diet, getting adequate sleep, and managing stress can support overall immune health.
  • Early Symptom Recognition: Learn to recognize the early signs of infection and report them to your doctor promptly. Early intervention can prevent minor infections from becoming severe.
  • Regular Medical Check-ups: Consistent follow-ups with your rheumatologist and primary care physician are vital for monitoring your lupus activity and immune status.

It's important to remember that managing lupus is a collaborative effort with your healthcare team. Open communication about any new symptoms or concerns can lead to timely diagnosis and treatment, helping to keep you as healthy as possible. For more comprehensive information on living with lupus, you can visit reputable sources like the Lupus Foundation of America or the Mayo Clinic.