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Related Concept Videos

Autoimmune Disorders01:29

Autoimmune Disorders

385
Autoimmune diseases are a group of disorders in which the body's immune system mistakenly attacks its own cells, tissues, and organs. This results from an overactive immune response against substances and tissues normally present in the body. Let's delve into the concept and mechanism of autoimmune diseases from an immune system point of view, explore different causes and examples of such diseases, and discuss potential solutions.
Concept and Mechanism of Autoimmune Diseases
The immune...
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Hypersensitivities01:30

Hypersensitivities

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Hypersensitivity, also known as a hypersensitivity reaction or allergic reaction, is a condition where the body's immune system reacts abnormally to a foreign substance. Such substances, that cause hypersensitivity are referred to as an allergen, could be something typically harmless to most people, like pollen or certain foods.
Types of Hypersensitivities
Hypersensitivity reactions are categorized into four types: Type 1, Type 2, Type 3, and Type 4. Each type has a distinct mechanism...
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Late-onset Systemic Lupus Erythematosus.

Prakashini Mruthyunjaya1, Sakir Ahmed2, Aliya Botabekova3,4

  • 1Department of Clinical Immunology and Rheumatology, Kalinga Institute of Medical Sciences, KIIT University, Bhubaneswar, 751024, India. m.v.prakashini@gmail.com.

Rheumatology International
|January 15, 2025
PubMed
Summary
This summary is machine-generated.

Late-onset systemic lupus erythematosus (SLE), diagnosed after age 50, presents unique challenges including diagnostic delays and multimorbidity. Optimizing treatment for older adults with SLE is crucial for better outcomes.

Keywords:
GeriatricsImmune senescenceLate onset disordersMultimorbiditySystemic lupus erythematosu

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Area of Science:

  • Rheumatology
  • Immunology
  • Geriatrics

Background:

  • Systemic lupus erythematosus (SLE) is a complex autoimmune disease affecting multiple organ systems.
  • Late-onset SLE (Lo-SLE), diagnosed after 50-65 years, accounts for nearly 20% of cases.
  • Lo-SLE exhibits distinct characteristics, including a reduced female predominance and higher rates of damage accrual.

Purpose of the Study:

  • To highlight the unique aspects of late-onset SLE (Lo-SLE).
  • To emphasize the importance of timely diagnosis and tailored treatment strategies for Lo-SLE.
  • To underscore the impact of multimorbidity in older adults with SLE.

Main Methods:

  • Review of existing literature on late-onset SLE.
  • Analysis of demographic and clinical differences between Lo-SLE and early-onset SLE.
  • Discussion of challenges in diagnosis and management of Lo-SLE.

Main Results:

  • Lo-SLE often presents atypically, leading to diagnostic delays.
  • Patients with Lo-SLE experience significant multimorbidity, including osteoporosis, sarcopenia, and cardiovascular issues.
  • Damage accrual is higher in Lo-SLE, potentially due to delayed diagnosis and treatment.

Conclusions:

  • Increased awareness and earlier diagnosis of Lo-SLE are essential.
  • Treatment plans must consider age-related factors, comorbidities, and minimize long-term steroid exposure.
  • Integrating non-pharmacological interventions can improve quality of life for Lo-SLE patients.