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VIII.83 - Lupus Erythematosus

from Part VIII - Major Human Diseases Past and Present

Published online by Cambridge University Press:  28 March 2008

Kenneth F. Kiple
Affiliation:
Bowling Green State University, Ohio
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Summary

Lupus erythematosus (LE) is a clinical syndrome that has multiple, but largely unknown causes. It exhibits an extremely broad spectrum of symptoms, and it can range in severity from being potentially fatal within a few weeks to eliciting minor indolent symptoms which, prior to immunologic testing, are virtually undiagnosable. When limited to the skin, it is called discoid lupus erythematosus (DLE); when the viscera are symptomatically affected, it is termed systemic lupus erythematosus (SLE). The inciting causes activate immunologic mechanisms that mediate the pathological, predominantly inflammatory, tissue responses.

History

Medical use of the term lupus has been traced to the fifteenth century, when it designated a variety of cancer. The term was reintroduced by London physician Robert Willan in 1808 to designate cutaneous tuberculosis, particularly when it affected the face. Cutaneous tuberculosis eventually received the synonym lupus vulgaris. In 1851 P. L. Alphée Cazenave of Paris used the term lupus erythemateaux to describe the condition that came to be called discoid lupus erythematosus (DLE) by Vienna’s Moriz Kaposi in 1872 (Jarcho 1957). During 1866–70, Kaposi diagnosed this disease in 22 patients and concluded that it was more common and more severe in women. All 3 deaths occurred among his 15 female patients. Although one of these had pulmonary tuberculosis, and cutaneous tuberculosis was common, Kaposi believed that DLE is not related to tuberculosis. Such a causal relationship, however, came to be advocated, particularly by French dermatologists, and remained under discussion until the 1930s. During the 5 years in which Kaposi saw 22 cases of DLE, 279 cases of lupus vulgaris were seen in the same department (Kaposi 1872).

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Publisher: Cambridge University Press
Print publication year: 1993

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References

Beck, J. S. 1969. Antinuclear antibodies: Methods of detection and significance. Mayo Clinic Proceedings 44.Google Scholar
Belote, G. H., and Ratner, H. S.. 1936. The so-called Libman–Sacks syndrome: Its relation to dermatology. Archives of Dermatology and Syphilology 33.CrossRefGoogle Scholar
Brunsting, L. A. 1952. Disseminated (systemic) lupus erythematosus. Proceedings of the Staff of the Mayo Clinic 27.Google ScholarPubMed
Fessel, W. J. 1974. Systemic lupus erythematosus in the community. Incidence, prevalence, outcome and first symptoms; the high prevalence in black women. Archives of Internal Medicine 134.CrossRefGoogle ScholarPubMed
Findlay, G. H., and Lups, J. G.. 1967. The incidence and pathogenesis of chronic discoid lupus erythematosus: An analysis of 191 consecutive cases from the Transvaal. South African Medical Journal 41.Google ScholarPubMed
Frank, A. O. 1980. Apparent predisposition to systemic lupus erythematosus in Chinese patients in West Malaysia. Annals of the Rheumatic Diseases 39.CrossRefGoogle ScholarPubMed
Gahan, E. 1942. Geographic distribution of lupus erythematosus. Archives of Dermatology and Syphilology 45.Google Scholar
Goeckerman, W. H. 1923. Lupus erythematosus as a systemic disease. Journal of the American Medical Association. 80.Google Scholar
Gordon, M. F., Stolley, P. D., and Schinar, R.. 1981. Trends in recent systemic lupus erythematosus mortality rates. Arthritis and Rheumatism 24.CrossRefGoogle ScholarPubMed
Greenwood, B. M., Herrick, E. M., and Holbrow, E. J.. 1970. Speckled antinuclear factor in African sera. Clinical and Experimental Immunology 7.Google ScholarPubMed
Hargraves, M. M. 1969. Discovery of the LE cell and its morphology. Mayo Clinic Proceedings 44.Google Scholar
Hart, H. H., Grigor, R. R., and Caughey, D. E.. 1983. Ethnic difference in the- prevalence of systemic lupus erythematosus. Annals of the Rheumatic Diseases 42.CrossRefGoogle ScholarPubMed
Helve, T. 1985. Prevalence and mortality rates of systemic lupus erythematosus and causes of death in SLE patients in Finland. Scandinavian Journal of Rheumatology 14.CrossRefGoogle ScholarPubMed
Hench, P. S., et al. 1950. Effects of cortisone acetate and pituitary ACTH on rheumatoid arthritis, rheumatic fever and certain other conditions. Archives of Internal Medicine 85.CrossRefGoogle ScholarPubMed
Hochberg, M. C. 1985. The incidence of systemic lupus erythematosus in Baltimore, Maryland, 1970–1977. Arthritis and Rheumatism 28.CrossRefGoogle Scholar
Hochberg, M. C. 1987. Mortality from systemic lupus erythematosus in England and Wales, 1974-1983. British Journal of Rheumatism 26.Google ScholarPubMed
Jarcho, S. 1957. Notes on the early modern history of lupus erythematosus. Journal of the Mount Sinai Hospital 24.Google ScholarPubMed
Jessop, S., and Meyers, O. L.. 1973. Systemic lupus erythematosus. South African Medical Journal 47.Google ScholarPubMed
Kaposi, M. 1872. Neue Beitrage zur Kenntniss des Lupus erythematosus. Archiv fiir Dermatologie und Syphilis 4.Google Scholar
Kaslow, R. A. 1982. High rate of death caused by systemic lupus erythematosus among U.S. residents of Asian descent. Arthritis and Rheumatism 2.Google Scholar
Keil, H. 1937. Conception of lupus erythematosus and variants. Archives of Dermatology and Syphilology 36.Google Scholar
Kraus, A., and Bohac, C.. 1908. Bericht uber acht Falle von Lupus erythematodes acutus. Archiv fiir Dermatologie und Syphilis 43.Google Scholar
Lee, S. L., Rivero, I., and Siegel, M.. 1966. Activation of systemic lupus erythematosus by drugs. Archives of Internal Medicine 117.CrossRefGoogle ScholarPubMed
Libman, E., and Sacks, B.. 1924. A hitherto undescribed form of valvular and mural endocarditis. Transactions of the Association of American Physicians 38.Google Scholar
MacLeod, J. M. 1913. Discussion on the nature, varieties, causes and treatment of lupus erythematosus. British Medical Journal 2.Google Scholar
Malaviya, A. N., et al. 1987. Systemic connective tissue diseases in India – IX. Survival in systemic lupus erythematosus. Journal of the Association of Physicians of India 36.Google Scholar
Montgomery, H., and McCreight, W. G.. 1949. Disseminated lupus erythematosus. Archives of Dermatology and Syphilology 60.Google Scholar
Osler, W. 1904. On the visceral manifestations of the erythema group of skin diseases. American Journal of the Medical Sciences 127.Google Scholar
Page, F. 1951. Treatment of lupus erythematosus with mepacrine. Lancet 2.Google ScholarPubMed
Rose, E., and Pillsbury, D. M.. 1939. Acute disseminated lupus erythematosus – a systemic disease. Annals of Internal Medicine 12.Google Scholar
Rothfield, N. F., et al. 1963. Chronic discoid lupus erythematosus: A study of 65 patients and 65 controls. New England Journal of Medicine 269.CrossRefGoogle Scholar
Serdula, M. K., and Rhoads, G. G.. 1979. Frequency of systemic lupus erythematosus in different ethnic groups in Hawaii. Arthritis and Rheumatism 22.CrossRefGoogle ScholarPubMed
Siegel, M., and Lee, S. L.. 1973. The epidemiology of systemic erythematosus. Seminars in Arthritis and Rheumatism 3.CrossRefGoogle Scholar
Tan, E. M., et al. 1982. The 1982 revised criteria for the classification of systemic lupus erythematosus. Arthritis and Rheumatism 25.CrossRefGoogle ScholarPubMed
Taylor, H. G., and Stein, C. M.. 1986. Systemic lupus erythematosus. Annals of the Rheumatic Diseases 45.CrossRefGoogle ScholarPubMed
Urman, J. D., and Rothfield, N. F.. 1977. Corticosteroid treatment in systemic lupus erythematosus: Survival studies. Journal of the American Medical Association 238.Google ScholarPubMed
Wagner, L. 1976. Immunosuppressive agents in lupus nephritis: A critical analysis. Medicine 55.CrossRefGoogle ScholarPubMed
Wilson, W. A., and Hughes, G. R.. 1979. Rheumatic disease in Jamaica. Annals of the Rheumatic Diseases 38.CrossRefGoogle ScholarPubMed

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