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Lupus, discoid  - view of lesions on the chest
Lupus, discoid - view of lesions on the chest
Lupus, discoid on a child's face
Lupus, discoid on a child's face
Lupus, discoid on the face
Lupus, discoid on the face
Antibodies
Antibodies


Drug-induced lupus erythematosus

Definition:
Drug-induced lupus erythematosus is an inflammatory autoimmune disorder that may affect many organ systems. It is caused from an adverse reaction to a medication.

Causes, incidence, and risk factors:

Several medications are known to cause a syndrome that resembles systemic lupus erythematosus (SLE) -- a chronic inflammatory autoimmune disorder that may affect many organ systems.

Drug-induced lupus erythematosus occurs as a result of a hypersensitivity reaction to a medication. The drug may react with cell materials, causing the body to react to itself and form antinuclear antibodies.

Drugs that are known to cause this type of reaction in some people include: procainamide, isoniazid, chlorpromazine, penicillamine, sulfasalazine, hydralazine, methyldopa, and quinidine. Symptoms tend to occur after taking the drug for a reasonable period of time, usually at least 3 to 6 months.

In drug-induced lupus erythematosus, the features of arthritis, systemic symptoms, and cardiac and pulmonary (lung) symptoms may be present. Other symptoms associated with SLE, such as lupus nephritis and neurological disease, are rare.

Drug-induced lupus erythematosus also differs from SLE in that the course of the disease is usually not as severe as SLE. Usually, the symptoms resolve within a few days to weeks after stopping the medication. The sex distribution of drug-induced lupus erythematosus is equal, whereas in SLE, women are affected more often than men.




Review Date: 1/24/2002
Reviewed By: Ajay Nirula M.D., Ph.D., Department of Rheumatology, University of California San Francisco, San Francisco, CA. Review provided by VeriMed Healthcare Network.

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