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                                                LUPUS

LUPUS IN THE CARIBBEAN – A MISUNDERSTOOD AND UNDERDIAGNOSED DISEASE



Introduction

Lupus is a chronic autoimmune disease that remains poorly understood by the general public. In the Caribbean, it primarily affects young women of African descent, often in severe forms. Awareness is essential.

1. What is lupus?

It is a condition where the immune system attacks healthy body cells as if they were invaders.

Main forms include:

  • Systemic Lupus Erythematosus (SLE) – the most common

  • Cutaneous lupus

  • Drug-induced lupus (rare)



2. What are the symptoms?

Lupus is unpredictable, with symptoms appearing in flare-ups:

  • Persistent fatigue

  • Joint pain

  • Butterfly-shaped facial rash

  • Unexplained fever

  • Hair loss

  • Sensitivity to sunlight

  • Kidney or heart involvement in severe cases

 

3. Why is lupus more common in the Caribbean?

  • Genetic predisposition in Afro-Caribbean populations

  • Environmental triggers (sun, infections, stress)

  • Late diagnosis due to limited awareness and access to care

4. How is lupus diagnosed?

  • Physical examination

  • Blood tests (e.g., antinuclear antibodies)

  • Monitoring organ involvement (kidneys, heart)



5. Can lupus be cured?

There is no cure, but treatments help control flare-ups and improve quality of life:

  • Corticosteroids

  • Immunosuppressive drugs

  • Antimalarials (hydroxychloroquine)



Conclusion

Lupus is invisible but real. In the Caribbean, early diagnosis and support make a difference. If you’re affected, remember: you are not alone.