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Help for Menopausal Patients with Lupus?

Evelyn V. Hess, MD
[+] Article, Author, and Disclosure Information

From the University of Cincinnati Cincinnati, OH 45267-0563.

Acknowledgments: The author thanks Drs. Anne-Barbara Mongey, Yolanda Farhey, and Margery Gass for their helpful comments.

Potential Financial Conflicts of Interest: None disclosed.

Requests for Single Reprints: Evelyn V. Hess, MD, University of Cincinnati, 231 Albert Sabin Way #7464, Cincinnati, OH 45267-0563; e-mail, hessev@email.uc.edu.

Ann Intern Med. 2005;142(12_Part_1):1014-1015. doi:10.7326/0003-4819-142-12_Part_1-200506210-00011
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Systemic lupus erythematosus (SLE) is a worldwide disease occurring predominantly in younger women, although the number of affected men is increasing. More middle-aged and older patients are also living with lupus because diagnoses are made later in life and patients are surviving longer. In fact, the mortality rate has changed dramatically. In the 1950s and early 1960s, 90% of patients with lupus were dead within 10 years of disease onset. Today, 90% of those affected are alive and doing well 10 years after diagnosis (1). Successful management has allowed many of the estimated 1 million to 1.5 million patients with SLE in the United States to live longer, more productive lives that extend into the pre- and postmenopausal years. Therefore, physiologic changes that accompany aging, such as menopause, require appropriate management.





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