• SLE, Systemic Lupus Erythematosus
Systemic lupus erythematosus (also known as SLE, or just lupus) is an autoimmune disease that primarily affects women of childbearing age. Its cause is unknown, but is believed to involve both genetic inheritance and factors in the environment. Whatever the cause, people with SLE develop antibodies against substances in their own bodies, including their DNA. These antibodies cause widespread damage and are believed to be primarily responsible for the many symptoms of this disease.
SLE may begin with such symptoms as fatigue, weight loss, fever, malaise, and loss of appetite. Other common early symptoms include muscle pain, joint pain, and facial rash. As SLE progresses, symptoms may develop in virtually every part of the body. Kidney damage is one of the most devastating effects of SLE, but many other serious problems may develop as well, including seizures, mental impairment, anemia, and inflammation of the heart, blood vessels, eyes, and digestive tract.
Conventional treatment for SLE revolves around a variety of anti-inflammatory drugs. In mild cases, taking nonsteroidal anti-inflammatory drugs (NSAIDs) may help; more severe forms of SLE require long-term use of corticosteroid anti-inflammatory drugs such as prednisone. The side effects of these medications can be quite serious themselves. So-called cytotoxic agents (azathioprine, cyclophosphamide, and chlorambucil) might also be helpful, but they have many side effects as well.
Close physician supervision is always required with lupus due to the risk of complications in so many organs.
Principal Proposed Natural Treatments
A meaningful body of evidence tells us that the hormone dehydroepiandrosterone (DHEA) may be helpful for the treatment of lupus, when used as a part of a comprehensive, physician-directed treatment approach.
DHEA is the most abundant steroid hormone found in the bloodstream. Your body uses DHEA as the starting material for making the sex hormones testosterone and estrogen. DHEA has been tried as a treatment for a variety of medical conditions, including osteoporosis
Similarly, in a double-blind, placebo-controlled study of 120 women with SLE, use of DHEA at a dose of 200 mg daily significantly decreased symptoms and reduced the frequency of disease flare-ups.
A smaller study found equivocal evidence that a lower dose of DHEA (30 mg daily for women over 45, and 20 mg daily for women 45) might also work.
Positive results were also seen in earlier, smaller studies.
A 2007 review of all published studies concluded that use of DHEA may meaningfully improve quality of life in the short term for people with lupus, but that it probably does not alter the long-term course of the disease.
For more information, including dosage and safety issues, see the full
Other Proposed Natural Treatments
Other treatments sometimes recommended for SLE include
Various herbs and supplements may interact adversely with drugs used to treat lupus. For more information on this potential risk, see the individual drug article in the
1. Mease PJ, Merrill JT, Lahita R, et al. GL701 (prasterone, dehydroepiandrosterone) improves or stabilizes disease activity in systemic lupus erythematosus. Presented at: The Endocrine Society’s 82nd Annual Meeting; Toronto, Canada; June 21-24, 2000.
18. Chang DM, Lan JL, Lin HY, et al. Dehydroepiandrosterone treatment of women with mild-to-moderate systemic lupus erythematosus: A multicenter randomized, double-blind, placebo-controlled trial. Arthritis Rheum. 2002;46:2924-2927.
20. Nordmark G, Bengtsson C, Larsson A, et al. Effects of dehydroepiandrosterone supplement on health-related quality of life in glucocorticoid treated female patients with systemic lupus erythematosus. Autoimmunity. 2005;38:531-40.
Last reviewed April 2009 by EBSCO CAM Review Board
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
Copyright © 2007 EBSCO Publishing All rights reserved.