Home care for lupus generally involves taking the prescribed
medications and adhering to good practices such as using sunscreen because there is often a history of skin sensitivity to sunlight.
The prognosis varies depending on whether there is serious organ inflammation (for example kidney or brain involvement).
Many lupus patients have very limited disease and live relatively normal lives with minimal problems. Others have multi-organ involvement with kidney failure, heart attacks , and strokes . The diversity of outcomes reflects the diversity of the disease.
With respect to fertility, women with lupus are just as capable of becoming
pregnant and having children as the general population. However, there is a much higher occurrence of complications in pregnancy — especially if the kidneys are involved. Women whose lupus has been inactive for 6-12 months are more likely to have a successful
pregnancy. In addition, antibodies formed in the mother that are transferred from mother to fetus can occasionally affect the infant, leading to rashes, low blood counts, or more seriously a slow heart rate due to complete heart block (neonatal lupus). For these reasons, all women with lupus who are or who desire to become pregnant should consult with their treating rheumatologist or other treating physicians and should be referred for "high-risk" obstetric care.
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