{"id":479,"date":"2016-12-31T14:29:14","date_gmt":"2016-12-31T19:29:14","guid":{"rendered":"http:\/\/www.mynutriguide.com\/?p=479"},"modified":"2020-07-11T10:38:15","modified_gmt":"2020-07-11T14:38:15","slug":"systemic-lupus-erythematosus-2","status":"publish","type":"post","link":"https:\/\/glutenfreeworks.com\/health\/systemic-lupus-erythematosus-2\/","title":{"rendered":"Systemic Lupus Erythematosus\u00a0"},"content":{"rendered":"<div id=\"attachment_6657\" style=\"width: 267px\" class=\"wp-caption alignleft\"><a href=\"https:\/\/glutenfreeworks.com\/health\/wp-content\/uploads\/sites\/10\/m_jpg0622f1.jpeg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-6657\" class=\" wp-image-6657\" src=\"https:\/\/glutenfreeworks.com\/health\/wp-content\/uploads\/sites\/10\/m_jpg0622f1-266x300.jpeg\" alt=\"Image showing butterfly rash of SLE. Courtesy JAMA.\" width=\"257\" height=\"290\" srcset=\"https:\/\/glutenfreeworks.com\/health\/wp-content\/uploads\/sites\/10\/m_jpg0622f1-266x300.jpeg 266w, https:\/\/glutenfreeworks.com\/health\/wp-content\/uploads\/sites\/10\/m_jpg0622f1.jpeg 450w\" sizes=\"auto, (max-width: 257px) 100vw, 257px\" \/><\/a><p id=\"caption-attachment-6657\" class=\"wp-caption-text\">Image showing butterfly rash typical of SLE.<em> Courtesy JAMA.<\/em><\/p><\/div>\n<h2>What Is Systemic Lupus Erythematosus?<\/h2>\n<p style=\"text-align: justify\"><span class=\"dropcap\">S<\/span>ystemic lupus erythematosus\u00a0(SLE) is a chronic autoimmune inflammatory disease that is characterized by involvement of multiple organs due to\u00a0the production of antibodies to components of the cell nucleus.<a href=\"#footnote_1_479\" id=\"identifier_1_479\" class=\"footnote-link footnote-identifier-link\" title=\"http:\/\/www.cdc.gov\/arthritis\/basics\/lupus.htm\">1<\/a> SLE has an unpredictable course of acute flare-ups and remissions.<\/p>\n<p style=\"text-align: justify\">Severity depends on the extent of organs affected with skin and nail involvement, called discoid lupus, being the least serious and inflammmation of the kidney, called lupus nephritis, being the worst.<\/p>\n<p style=\"text-align: justify\">Nevetheless, a classic presentation is development of a rash over the cheeks and nose that resembles a butterfy with wings spread hence the name &#8220;butterfly rash.&#8221;<\/p>\n<p style=\"text-align: justify\">Symptoms are many and varied depending on the tissues affected and\u00a0are often not specific, for example hair loss has a variety of causes. Symptoms can be confused by co-existence with other autoimmune disease such as Sjogren&#8217;s syndrome.<\/p>\n<p style=\"text-align: justify\">Systemic lupus erythematosus should be managed by a specialist. Symptoms can be controlled\u00a0<span style=\"line-height: 1.5em\">wi<\/span><span style=\"line-height: 1.5em\">th steroid therapy,\u00a0<\/span><span style=\"line-height: 1.5em\">but this disease can be a cause of premature death \u00a0mainly from active disease, organ failure (e.g., kidneys), infection, or cardiovascular disease from accelerated atherosclerosis.<\/span><\/p>\n<p>Certain common medicines known to cause drug-induced lupus are:<\/p>\n<ul>\n<li>Isoniazid<\/li>\n<li>Hydralazine<\/li>\n<li>Procainamide<\/li>\n<\/ul>\n<p>Other less common drugs may also cause the condition. These may include:<\/p>\n<ul>\n<li>Anti-seizure medications<\/li>\n<li>Capoten<\/li>\n<li>Chlorpromazine<\/li>\n<li>Etanercept<\/li>\n<li>Infliximab<\/li>\n<li>Methyldopa<\/li>\n<li>Minocycline<\/li>\n<li>Penicillamine<\/li>\n<li>Quinidine<\/li>\n<li>Sulfasalazine<\/li>\n<\/ul>\n<p>Symptoms tend to occur after taking the drug for at least 3 to 6 months.<a href=\"#footnote_2_479\" id=\"identifier_2_479\" class=\"footnote-link footnote-identifier-link\" title=\"www.nlm.nih.gov\/medlineplus\/ency\/article\/000446.htm\">2<\/a><\/p>\n<p style=\"text-align: justify\">Although there is a strong familial aggregation, the disease is relatively uncommon and most cases are sporadic.<a href=\"#footnote_1_479\" id=\"identifier_3_479\" class=\"footnote-link footnote-identifier-link\" title=\"http:\/\/www.cdc.gov\/arthritis\/basics\/lupus.htm\">1<\/a>\u00a0According to the Center for Diseases (CDC), lupus most commonly affects women of childbearing age but also occurs in infants, children, adolescents, and men with peak occurrence between ages 15 and 40. Blacks (and possibly Hispanics, Asians, and Native Americans) are affected more than Whites.<\/p>\n<h2>What Is Systemic Lupus Erythematosus In Celiac Disease and\/or Gluten Sensitivity?<\/h2>\n<p><!--more--><\/p>\n<ul class=\"cp_check red\">\n<li style=\"text-align: justify\"><strong>Relationship between systemic lupus erythematosus and celiac disease.<\/strong> Systemic lupus erythematosus\u00a0is an associated immune disorder in celiac disease.\u00a0Reports give conflicting results regarding association with celiac disease. There is a high rate of false-positive serology results for celiac disease in SLE.\u00a0In one study that examined 103 patients with SLE, none had either antiendomysial antibodies (EMA) or a mucosal lesion, but 23.3% had anti-gliadin antibodies. A study by Picceli et al. found that\u00a0IgA-EmA \u00a0signifying celiac disease was significantly associated with\u00a0lupus\u00a0with the presence of discoid lesions.<a href=\"#footnote_3_479\" id=\"identifier_4_479\" class=\"footnote-link footnote-identifier-link\" title=\"Picceli VF1, Skare TL, Nisihara R, Kotze L, Messias-Reason I, Utiyama SR. Spectrum of autoantibodies for gastrointestinal autoimmune diseases in systemic lupus erythematosus patients.&nbsp;Lupus. 2013 Oct;22(11):1150-5.\">3<\/a><\/li>\n<\/ul>\n<ul class=\"cp_check red\">\n<li style=\"text-align: justify\"><strong>Relationship between systemic lupus erythematosus and gluten.\u00a0<\/strong>The association between celiac disease and other immune disorders may be due to the sharing of a common genetic background, such as HLA antigens. However, in a very large study, involving 909 patients with celiac disease, Ventura and his associates found that the development of immune disorders in Celiac Disease was clearly related to the duration of exposure to gluten.<a href=\"#footnote_4_479\" id=\"identifier_5_479\" class=\"footnote-link footnote-identifier-link\" title=\"La Villa G, Pantaleo P, Tarquini R, Cirami L, Perfetto F, Mancuso F, Laffi G. Multiple immune disorders in unrecognized celiac disease: a case report. World J Gastroenterol. 2003;9(6):1377-1380, Available at: http:\/\/www.wjgnet.com\/1007-9327\/9\/1377.asp.\">4<\/a><\/li>\n<\/ul>\n<ul class=\"cp_check red\">\n<li style=\"text-align: justify\"><strong>Relationship between systemic lupus erythematosus and autoimmunity. T<\/strong>he association of celiac disease and SLE may shed light on the pathogenesis of autoimmune disorders in patients with celiac disease since anti-DNA antibodies from a patient with celiac disease induced experimental SLE in a mouse model.<a href=\"#footnote_5_479\" id=\"identifier_6_479\" class=\"footnote-link footnote-identifier-link\" title=\"Shamir R, Shoenfeld Y, Blank M, et al. The prevalence of coeliac disease antibodies in patients with the antiphospholipid syndrome. Lupus. 2003;32:394-9.\">5<\/a><\/li>\n<\/ul>\n<ul class=\"cp_check red\">\n<li style=\"text-align: justify\"><strong>Relationship between systemic lupus erythematosus and vitamin D.\u00a0<\/strong>Vitamin D deficiency is associated with lupus and is a classic finding in celiac disease. Vitamin D is a prohormone that is required for normal immune system functioning.\u00a0The physiologic and clinical consequences of vitamin D deficiency in\u00a0systemic lupus erythematosus\u00a0are not entirely known. Prospective studies of vitamin D in\u00a0systemic lupus erythematosus\u00a0are limited, but most cross-sectional studies show an inverse relationship between levels of vitamin D and\u00a0disease\u00a0activity. This suggests that normalizing of vitamin D may have benefits beyond bone health for patients with\u00a0systemic lupus erythematosus.<a href=\"#footnote_6_479\" id=\"identifier_7_479\" class=\"footnote-link footnote-identifier-link\" title=\"Kamen D1, Aranow C. Vitamin D in systemic lupus erythematosus. Curr Opin Rheumatol. 2008 Sep;20(5):532-7. doi: 10.1097\/BOR.0b013e32830a991b.\">6<\/a><\/li>\n<\/ul>\n<h2>How Prevalent Is Systemic Lupus Erythematosus In Celiac Disease and\/or Gluten Sensitivity?<\/h2>\n<ul class=\"cp_bullet black\">\n<li style=\"text-align: justify\">A 2012\u00a0Swedish\u00a0study reported occurrence of systemic lupus erythematosus in 3.49% of \u00a0patients with celiac disease.<a href=\"#footnote_7_479\" id=\"identifier_8_479\" class=\"footnote-link footnote-identifier-link\" title=\"Ludvigsson JF1, Rubio-Tapia A, Chowdhary V, Murray JA, Simard JF. Increased risk of systemic lupus erythematosus in 29,000 patients with biopsy-verified celiac disease.&nbsp;J Rheumatol. 2012 Oct;39(10):1964-70. doi: 10.3899\/jrheum.120493. Epub 2012 Aug 1.\">7<\/a><\/li>\n<li style=\"text-align: justify\">A 2013 Brazilian study found a 5.5% occurrence of endomysium autoantibodies signifying celiac disease\u00a0in patients with\u00a0lupus having the presence of discoid lesions.<a href=\"#footnote_3_479\" id=\"identifier_9_479\" class=\"footnote-link footnote-identifier-link\" title=\"Picceli VF1, Skare TL, Nisihara R, Kotze L, Messias-Reason I, Utiyama SR. Spectrum of autoantibodies for gastrointestinal autoimmune diseases in systemic lupus erythematosus patients.&nbsp;Lupus. 2013 Oct;22(11):1150-5.\">3<\/a><\/li>\n<li style=\"text-align: justify\">A study reported occurrence of systemic lupus erythematosus in\u00a01.3% of patients with dermatitis herpetiformis.<a href=\"#footnote_8_479\" id=\"identifier_10_479\" class=\"footnote-link footnote-identifier-link\" title=\"Reunala T, Collin P. Diseases associated with dermatitis herpetiformis. British Journal of Dermatology. Mar 1997;136(3):315-8.\">8<\/a><\/li>\n<\/ul>\n<h2>What Are The Symptoms Of Systemic Lupus Erythematosus?<\/h2>\n<p><a href=\"https:\/\/glutenfreeworks.com\/health\/wp-content\/uploads\/sites\/10\/00047_M.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-7114\" src=\"https:\/\/glutenfreeworks.com\/health\/wp-content\/uploads\/sites\/10\/00047_M-175x300.jpg\" alt=\"00047_M\" width=\"136\" height=\"233\" srcset=\"https:\/\/glutenfreeworks.com\/health\/wp-content\/uploads\/sites\/10\/00047_M-175x300.jpg 175w, https:\/\/glutenfreeworks.com\/health\/wp-content\/uploads\/sites\/10\/00047_M-597x1024.jpg 597w, https:\/\/glutenfreeworks.com\/health\/wp-content\/uploads\/sites\/10\/00047_M.jpg 840w\" sizes=\"auto, (max-width: 136px) 100vw, 136px\" \/><\/a><\/p>\n<p>Systemic lupus erythematosus\u00a0is usually marked by varied symptoms that tend to flare:<\/p>\n<ul class=\"cp_bullet red\">\n<li style=\"text-align: justify\">Moderate to severe fatigue in most.<\/li>\n<li style=\"text-align: justify\">Erythematous (red) \u201cbutterfly\u201d rash over the nose and cheeks in many.<\/li>\n<li style=\"text-align: justify\">Weight loss.<\/li>\n<li style=\"text-align: justify\">Low grade fever under 101 dgrees Farenheit that may come and go with flares.<\/li>\n<li style=\"text-align: justify\">Sensitivity to the sun in most.<\/li>\n<li style=\"text-align: justify\">Ulcers in mucous membranes of mouth and throat in many.<\/li>\n<li style=\"text-align: justify\">Hair loss in many.<\/li>\n<li style=\"text-align: justify\">Mottling in fingers in many when exposed to cold.<\/li>\n<li style=\"text-align: justify\">Depending on the type of involvement there can be\u00a0raised, red, scaly discoid skin lesions, antinuclear antibodies, autoantibodies, pleuritis or pericarditis, arthritis (pain or swelling in joints), anemia, lymphopenia (low white blood cell count), and autoimmune thrombocytopenia which allows blood clot formations.<\/li>\n<li style=\"text-align: justify\">Pain or irritation of the eyes in some because of inflammation of the uveal tract of the eye (called uveitis) caused by autoimmune antibodies produced in lupus.<\/li>\n<li style=\"text-align: justify\">Calcinosis (calcium deposits in skin). Calcium deposits appear as hard bumps under the skin or in the muscle. Calcinosis most often occurs 1-3 years after the disease begins and is associated with damaged, inflamed, or necrotic skin.<\/li>\n<li style=\"text-align: justify\">Possible stroke.<\/li>\n<li style=\"text-align: justify\">Possible heart attack.<\/li>\n<li style=\"text-align: justify\">Lower leg swelling, elevated blood pressure and possible kidney failure if kidneys become inflamed.<\/li>\n<\/ul>\n<h2>How Does Systemic Lupus Erythematosus Develop In Celiac Disease and\/or Gluten Sensitivity?<\/h2>\n<ul class=\"cp_check red\">\n<li style=\"text-align: justify\">Systemic lupus erythematosuss results from an unclear autoimmune mechanism associated with celiac disease.<\/li>\n<li style=\"text-align: justify\">Vitamin D deficiency is a factor in lupus, and\u00a0<span style=\"line-height: 1.5em\">in celiac disease it\u00a0<\/span><span style=\"line-height: 1.5em\">results\u00a0<\/span><span style=\"line-height: 1.5em\">from \u00a0malabsorption. Most cross-sectional studies show an inverse relationship between levels of vitamin D and\u00a0disease\u00a0activity. That is, the better the vitamin D status in the body, the lower the inflammation activity of lupus.<a href=\"#footnote_9_479\" id=\"identifier_11_479\" class=\"footnote-link footnote-identifier-link\" title=\"Kamen D1, Aranow C. Vitamin D in systemic lupus erythematosus.&nbsp;Curr Opin Rheumatol. 2008 Sep;20(5):532-7. doi: 10.1097\/BOR.0b013e32830a991b.\">9<\/a><\/span><\/li>\n<li style=\"text-align: justify\">A nationwide study in England investigating the reported association between vitamin D deficiency and the risk of developing immune-mediated diseases showed that patients with vitamin D deficiency have an increased rate of developing lupus.<a href=\"#footnote_10_479\" id=\"identifier_12_479\" class=\"footnote-link footnote-identifier-link\" title=\"Ramagopalan SV, Goldacre R, Disanto G, Giovannoni G, Goldacre MJ. Hospital admissions for vitamin D related conditions and subsequent immune-mediated disease: record-linkage studies. BMC Med. 2013 Jul 25;11:171. doi: 10.1186\/1741-7015-11-171.\">10<\/a><\/li>\n<li style=\"text-align: justify\">Sunlight is a well known trigger for activating symptoms.<\/li>\n<\/ul>\n<h2>Does Systemic Lupus Erythematosus Respond To Gluten-Free Diet?<\/h2>\n<p style=\"text-align: justify\">Studies are inadequate to determine effect of gluten free diet on the course of systemic lupus erythematosus,\u00a0but case studies describe a beneficial effect.<a href=\"#footnote_11_479\" id=\"identifier_13_479\" class=\"footnote-link footnote-identifier-link\" title=\"Hrycek A, Siekiera U. Coeliac disease in systemic lupus erythematosus: a case report.&nbsp;Rheumatol Int.&nbsp;2008 Mar;28(5):491-3. Epub 2007 Oct 9.\">11<\/a>,<a href=\"#footnote_12_479\" id=\"identifier_14_479\" class=\"footnote-link footnote-identifier-link\" title=\"Gupta D, Mirza N. Systemic lupus erythematosus, celiac disease and antiphospholipid antibody syndrome: a rare association.&nbsp;Rheumatol Int. 2008 Sep;28(11):1179-80. doi: 10.1007\/s00296-008-0603-y. Epub 2008 May 17.\">12<\/a><\/p>\n<p>Vitamin D supplementation is advised to normalize blood levels which reduces disease activity.<a href=\"#footnote_6_479\" id=\"identifier_15_479\" class=\"footnote-link footnote-identifier-link\" title=\"Kamen D1, Aranow C. Vitamin D in systemic lupus erythematosus. Curr Opin Rheumatol. 2008 Sep;20(5):532-7. doi: 10.1097\/BOR.0b013e32830a991b.\">6<\/a><\/p>\n<h2>6 Steps To Improve\u00a0Systemic Lupus Erythematosus\u00a0In Celiac Disease and\/or Gluten Sensitivity:<\/h2>\n<ul class=\"cp_check green\">\n<li><em><span style=\"color: #800000\"><span class=\"dropcap\"><strong>1<\/strong><\/span><\/span><strong><span style=\"color: #800000\">Remove the Trigger. Maintain a Strict, Nutritious Gluten Free Diet:<\/span><\/strong><\/em><\/li>\n<\/ul>\n<p style=\"text-align: justify\"><div class=\"box shadow\"><div class=\"box-inner-block\"><i class=\"tieicon-boxicon\"><\/i>\n\t\t\t<b>Treatment<\/b>. This condition responds to the complete elimination of gluten, which is the required treatment that improves both systemic lupus erythematosus\u00a0and gut health.<\/p>\n<ul class=\"cp_bullet green\" style=\"text-align: justify\">\n<li>Gut health is the foundation to restore ALL health. Restored health will enable you to maintain a strict gluten free diet, just as other life tasks will be easier.<\/li>\n<li>A strict gluten free diet means removing 100% of wheat, barley, rye and oats from the diet.<\/li>\n<li>Cutting out bread and other obvious sources of gluten is not good enough for recovery. Even 1\/8th teaspoon of flour or bread crumb is enough to sustain the inflammation that is damaging your small intestine, causing increased permeability (leaky gut) and allowing undigested gluten to enter your body where it can damage structures and function, and instigate immune inflammatory responses.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>Correct Your Individual Nutritional Needs.<\/strong><\/p>\n<ul class=\"cp_bullet green\" style=\"text-align: justify\">\n<li>Eat foods that can replenish missing nutrients. Find them under\u00a0NUTRIENT DEFICIENCIES.<\/li>\n<li>Take nutritional supplements as needed.\u00a0Find them under\u00a0NUTRIENT DEFICIENCIES.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>Recovery<\/strong>. You should begin to feel better within a week and notice more energy as inflammation subsides and the \u00a0absorbing cells that make up the surface lining of your small intestine are better able to function.<\/p>\n<ul class=\"cp_bullet green\" style=\"text-align: justify\">\n<li>Intestinal lining cells are replaced every 5 days. The healing process is like sunburn where the damaged surface layer of skin sloughs off and is replaced with new normal cells.<\/li>\n<li>Leaky gut normally resolves in two month after starting a gluten free diet and brings about a big improvement in health. Improvement in intestinal permeability precedes morphometric recovery (cell appearance and structure) of the small intestine in celiac disease.<a href=\"#footnote_13_479\" id=\"identifier_16_479\" class=\"footnote-link footnote-identifier-link\" title=\"Cummins AG, Thompson FM, Butler RN, et al. Improvement in intestinal permeability precedes morphometric recovery of the small intestine in coeliac disease.&nbsp;Clinical Science. Apr 2001;100(4):379-86.\">13<\/a><\/li>\n<li>The intestinal lining may take up to a year to heal.\n\t\t\t<\/div><\/div><\/li>\n<\/ul>\n<ul class=\"cp_check green\" style=\"text-align: justify\">\n<li><em><span style=\"color: #800000\"><span class=\"dropcap\"><strong>2<\/strong><\/span><\/span><strong><span style=\"color: #800000\">\u00a0Reduce Inflammation. Foods to Eat and Foods Not to Eat:<\/span><\/strong><\/em><\/li>\n<\/ul>\n<p style=\"text-align: justify\">Because gluten is inflammatory, eliminate OTHER inflammatory foods from your diet to reduce an additive effect to gluten. At the same time, try to eat foods that reduce inflammation (anti-inflammatory).<\/p>\n<p style=\"text-align: justify\"><div class=\"box shadow\"><div class=\"box-inner-block\"><i class=\"tieicon-boxicon\"><\/i>\n\t\t\t<strong>Here Are Major Inflammatory Food Types That Reduce Healing<\/strong>:<\/p>\n<ul class=\"cp_bullet red\" style=\"text-align: justify\">\n<li><strong>Damaging Foods<\/strong>. In susceptible persons, includes corn, dairy (cow), and soy. Lactose, the sugar in any animal milk disrupts intestinal permeability causing leaky gut.<a href=\"#footnote_14_479\" id=\"identifier_17_479\" class=\"footnote-link footnote-identifier-link\" title=\"Farhadi A, Banan A, Fields J, Keshavarzian A. Intestinal barrier: an interface between health and disease.&nbsp;Journal of Gastroenterology and Hepatology. 2003;18:479-91.\">14<\/a><\/li>\n<li><strong>Allergenic Foods<\/strong>. Includes foods that trigger the immune sytem to produce IgE antibodies. Allergy testing is the usual way to discover these offending foods.<\/li>\n<li><strong>Shelf Stable Processed Foods.\u00a0<\/strong>Includes any that contain additives and preservatives. Look for them on the nutrition label of the box or package. Additives and preservatives also disrupt intestinal permeability causing leaky gut.<a href=\"#footnote_14_479\" id=\"identifier_18_479\" class=\"footnote-link footnote-identifier-link\" title=\"Farhadi A, Banan A, Fields J, Keshavarzian A. Intestinal barrier: an interface between health and disease.&nbsp;Journal of Gastroenterology and Hepatology. 2003;18:479-91.\">14<\/a><\/li>\n<li><strong>Fats.<\/strong>\u00a0Limit deep fried foods, trans-fats, saturated fats (animal fat\/butter), and EXCESSIVE omega-6 fatty acid oils like corn oil. Rancid fats, sodium caprate (a medium chain fat), and sucrose monester fatty acid (a food grade surfactant) induce significant disruption of the intestinal barrier that causes leaky gut.<a href=\"#footnote_14_479\" id=\"identifier_19_479\" class=\"footnote-link footnote-identifier-link\" title=\"Farhadi A, Banan A, Fields J, Keshavarzian A. Intestinal barrier: an interface between health and disease.&nbsp;Journal of Gastroenterology and Hepatology. 2003;18:479-91.\">14<\/a>.<\/li>\n<li><strong>Excessive Refined White Flours\u00a0<\/strong>(bran layer removed)<strong>.\u00a0<\/strong>Includes\u00a0products made from them such as cookies, bread, cakes, pies.\u00a0Bran contains the vitamins and minerals that metabolize grains and slows the otherwise rapid entry of sugar from their digestion into the bloodstream.\u00a0Also disrupt intestinal permeability causing leaky gut.<a href=\"#footnote_14_479\" id=\"identifier_20_479\" class=\"footnote-link footnote-identifier-link\" title=\"Farhadi A, Banan A, Fields J, Keshavarzian A. Intestinal barrier: an interface between health and disease.&nbsp;Journal of Gastroenterology and Hepatology. 2003;18:479-91.\">14<\/a><\/li>\n<li><strong>Refined Sugars.\u00a0<\/strong>\u00a0Includes white sugar, corn fructose and high fructose corn syrup.<\/li>\n<li><strong>Certain Spices<\/strong>. Includes paprika and cayenne pepper which disrupt intestinal permeability causing leaky gut.<a href=\"#footnote_14_479\" id=\"identifier_21_479\" class=\"footnote-link footnote-identifier-link\" title=\"Farhadi A, Banan A, Fields J, Keshavarzian A. Intestinal barrier: an interface between health and disease.&nbsp;Journal of Gastroenterology and Hepatology. 2003;18:479-91.\">14<\/a><\/li>\n<li><strong>Alcohol and Caffeine<\/strong>. Disrupt intestinal permeability causing leaky gut.<a href=\"#footnote_14_479\" id=\"identifier_22_479\" class=\"footnote-link footnote-identifier-link\" title=\"Farhadi A, Banan A, Fields J, Keshavarzian A. Intestinal barrier: an interface between health and disease.&nbsp;Journal of Gastroenterology and Hepatology. 2003;18:479-91.\">14<\/a>\n\t\t\t<\/div><\/div><\/li>\n<\/ul>\n<p style=\"text-align: justify\"><div class=\"box shadow\"><div class=\"box-inner-block\"><i class=\"tieicon-boxicon\"><\/i>\n\t\t\t<strong>Here Are Important Anti-Inflammatory Food Types to Promote Health<\/strong>:<\/p>\n<ul class=\"cp_bullet green\" style=\"text-align: justify\">\n<li><strong>Fruits<\/strong>.\u00a0Contain ample amounts of vitamins, minerals and phytochemicals which are\u00a0naturally occuring components in plants that detoxify toxins, carcinogens (reducing the risk by 50%) and mutagens.<\/li>\n<li><strong>Non-Starchy Vegetables.<\/strong>\u00a0Support intestinal integrity and provide ample amounts of vitamins, minerals and phytochemicals. Includes green leafy vegetables such as lettuce and kale, also onion, broccoli, garlic, and others.<\/li>\n<li><strong>High Quality Complex Carbohydrates<\/strong>. Provide vitamins, minerals, and fiber while boosting serotonin levels to help you relax and feel calm. Includes whole grains, legumes, and root vegetables such as carrots, parsnips, sweet potatoes, turnips, red beets, and others.<\/li>\n<li><strong>Antioxidants<\/strong>. Protect the body from inflammatory oxidant molecules that continually occur and\u00a0help us handle stress and reduce irritability. Includes vitamin C-containing foods such as lemon, grapefruit, apricot, Brussels sprouts and strawberries, and others. Also, includes vitamin E-containing foods such as\u00a0nuts, seeds, avocado, olive oil, and others. Cocoa is good, too.<\/li>\n<li><strong>Omega-3 Fatty Acids<\/strong>. Balance opposing omega-6 fatty acids and bad fats. Fish sources includes tuna, salmon, cod, and others. Plants sources include flax, chia seeds, canola oil, and others.<\/li>\n<li><strong>Probiotics.\u00a0<\/strong>Supply normal microbes needed for colon health and health of the body such as these fermented foods: yogurt, kefir, and unpasteurized apple cider vinegar.<\/li>\n<li><strong>Prebiotics\/ High Fiber Foods<\/strong>. \u00a0Food with fiber keeps our population of colonic microbes healthy.<\/li>\n<li><strong>Protective Herbs and Spices<\/strong>. \u00a0See below #6 below for examples.\n\t\t\t<\/div><\/div><\/li>\n<\/ul>\n<ul class=\"cp_check green\" style=\"text-align: justify\">\n<li><em><span style=\"color: #800000\"><strong><span class=\"dropcap\">3<\/span>\u00a0Information Sheet You Can Take to Your Doctor or Other Health Professional:<\/strong><\/span><\/em><\/li>\n<\/ul>\n<p style=\"text-align: justify\">Click here.<\/p>\n<ul class=\"cp_check green\" style=\"text-align: justify\">\n<li><span style=\"color: #800000\"><strong><em><span class=\"dropcap\">4<\/span>\u00a0Manage Your Medications\u00a0Safely<\/em>:<\/strong><\/span><\/li>\n<\/ul>\n<p style=\"text-align: justify\"><div class=\"box shadow\"><div class=\"box-inner-block\"><i class=\"tieicon-boxicon\"><\/i>\n\t\t\t\n<ol style=\"text-align: justify\">\n<li>Certain medications used to treat lupus deplete nutrients which requires supplementation to prevent\u00a0nutritional deficiencies.<\/li>\n<li>Certain medications deplete vitamin D which worsens lupus and celiac disease.<\/li>\n<\/ol>\n<p style=\"text-align: justify\">Ask your doctor or pharmacist about this possible adverse effect if you are taking any of the drugs listed below.\u00a0<strong>Do not stop prescribed medications without supervision.<\/strong><\/p>\n<p style=\"text-align: justify\">\u00a0This is not a complete listing.<\/p>\n<p style=\"text-align: justify\"><strong>1. Nutrient depleting drugs used to treat lupus include these:<\/strong><\/p>\n<p style=\"text-align: justify\"><strong>ANTI-INFLAMMATORIES<\/strong>\u00a0disrupt intestinal permeability which complicates celiac disease.<\/p>\n<ul class=\"cp_bullet blue\" style=\"text-align: justify\">\n<li>Corticosteroids (Prednisone, Medrol\u00ae, Aristocort\u00ae, Decadron) deplete Calcium, Vitamin D, Magnesium, Zinc, Vitamin C, Vitamin B6, Vitamin B12, Folic Acid, Selenium, Chromium, Phosphorus.<\/li>\n<li>NSAIDS (Motrin\u00ae, Aleve\u00ae, Advil\u00ae, Anaprox\u00ae, Dolobid\u00ae, Feldene\u00ae, Naprosyn\u00ae and others) deplete\u00a0Folic acid.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>2. Common drugs that deplete vitamin D include these:<\/strong><\/p>\n<p style=\"text-align: justify\"><strong>ANTACIDS \/ ULCER MEDICATIONS<\/strong><\/p>\n<ul class=\"cp_bullet blue\" style=\"text-align: justify\">\n<li>Pepcid\u00ae, Tagamet\u00ae, Zantac\u00ae deplete Vitamin D.<\/li>\n<li>Magnesium and Aluminum Antacid preparations (Gaviscon\u00ae, Maalox\u00ae, Mylanta\u00ae) deplete\u00a0Vitamin D.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>ANTI-INFLAMMATORIES<\/strong>\u00a0disrupt intestinal permeability which complicates celiac disease.<\/p>\n<ul class=\"cp_bullet blue\" style=\"text-align: justify\">\n<li>Corticosteroids (Prednisone, Medrol\u00ae, Aristocort\u00ae, Decadron) deplete\u00a0Vitamin D.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>ANTICONVULSANTS<\/strong><\/p>\n<ul class=\"cp_bullet blue\" style=\"text-align: justify\">\n<li>Phenobarbital and Barbituates; and Dilantin\u00ae, Tegretol\u00ae, Mysoline\u00ae, Depakane\/Depacon\u00ae deplete\u00a0Vitamin D.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>BRONCHODILATORS<\/strong><\/p>\n<ul class=\"cp_bullet blue\" style=\"text-align: justify\">\n<li>Inhaled corticosteroid inhalers (Flovent, Pulmicort and others) that are breathed in on a daily basis\u00a0as a long term therapy to reduce inflammation in airways deplete\u00a0Vitamin D.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>CHOLESTEROL DRUGS<\/strong><\/p>\n<ul class=\"cp_bullet blue\" style=\"text-align: justify\">\n<li>Colestid\u00ae and Questran\u00ae deplete Vitamin D.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>LAXATIVES <\/strong><\/p>\n<ul class=\"cp_bullet blue\" style=\"text-align: justify\">\n<li>Metamucil, FiberCon, Citrucel, Colace, Glycolax, Milk of magnesia, Dulcolax deplete\u00a0Vitamin D.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>WEIGHT LOSS DRUGS THAT BIND FAT\u00a0<\/strong>also interfere with absorption of some nutrients.<\/p>\n<ul class=\"cp_bullet blue\" style=\"text-align: justify\">\n<li>Zenicol (Orlistat\u00ae) depletes\u00a0Vitamin D.<\/li>\n<\/ul>\n<p style=\"text-align: justify\">\n\t\t\t<\/div><\/div>\n<ul class=\"cp_check green\" style=\"text-align: justify\">\n<li><em><span style=\"color: #800000\"><strong><span class=\"dropcap\">5<\/span>Nutritional Supplements To Help Correct Deficiencies:<\/strong><\/span><\/em><\/li>\n<\/ul>\n<p style=\"text-align: justify\"><div class=\"box shadow\"><div class=\"box-inner-block\"><i class=\"tieicon-boxicon\"><\/i>\n\t\t\t\n<ul class=\"cp_bullet orange\" style=\"text-align: justify\">\n<li>Multivitamin\/mineral combination that provides 100% once a day is useful to improve overall nutrient levels. This is a safe dose, but always check with your doctor to avoid interactions with medications.<\/li>\n<li>B-Vitamin Complex as prescribed to restore folic acid, vitamin B6, and vitamin B12 following blood test for status.<\/li>\n<li>Calcium citrate is the best absorbed of calcium supplements. Calcium carbonate is a poor choice.<\/li>\n<li>Vitamin D3 as prescribed following blood test for status.<\/li>\n<li>Chelated magnesium as prescribed, but do not take at same time as calcium because they compete for absorption.<\/li>\n<li>Zinc\u00a0as prescribed following blood test for status.<\/li>\n<li>Chromium and\/or selenium following blood test for status.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>Storage Note<\/strong>:\u00a0<em>Store container tightly sealed, away from heat, moisture and direct light to avoid loss of potency. That is, in a safe kitchen cabinet &#8211; not in the bathroom or on the kitchen table<\/em>.\n\t\t\t<\/div><\/div>\n<ul class=\"cp_check green\" style=\"text-align: justify\">\n<li><span style=\"color: #800000\"><em><strong><span class=\"dropcap\">6<\/span>Manage Natural Remedies:\u00a0<\/strong><\/em><\/span><\/li>\n<\/ul>\n<p style=\"text-align: justify\"><div class=\"box shadow\"><div class=\"box-inner-block\"><i class=\"tieicon-boxicon\"><\/i>\n\t\t\t<strong>Hydration<\/strong>:<\/p>\n<ul class=\"cp_bullet green\" style=\"text-align: justify\">\n<li>Eight glasses of water are recommended per day unless there is a contraindication such as kidney or heart disease. The Institute of Medicine recommends approximately 2.7 liters (91 ounces) of total water, from all beverages and foods, each day for women and 3.7 liters (125 ounces) daily of total water for men.<\/li>\n<li>If you are thirsty, drink water. Add fresh, squeezed lemon to water. Lemon is anti-inflammatory, alkalizing and provides vitamin C.<\/li>\n<li>Hydration Test: Urine should be pale yellow. Fingertips should be plump, without pruning but this may not be reliable when fingers are swollen with edema. Lips should be plump, without puckering. The feeling of thirst can be unreliable.<\/li>\n<li>What is wrong with soda, coffee, tea, and alcohol? These drinks are dehydrating, increase acid, and deplete nutrients.\n\t\t\t<\/div><\/div><\/li>\n<\/ul>\n<p style=\"text-align: justify\"><div class=\"box shadow\"><div class=\"box-inner-block\"><i class=\"tieicon-boxicon\"><\/i>\n\t\t\t<strong>Carminatives.\u00a0<\/strong>The following \u00a0anti-inflammatory\u00a0plant sources called carminitives help heal the digestive tract. They also tone the digestive muscles which improves peristalsis, thus aiding in the expulsion of gas from the stomach and intestine to relieve digestive colic and gastric discomfort.<\/p>\n<p style=\"text-align: justify\"><strong>Carminative Food Remedies<\/strong>:<\/p>\n<ul class=\"cp_bullet green\" style=\"text-align: justify\">\n<li>Raspberry.<\/li>\n<li>Carrot is also a cleansing digestive tonic.<\/li>\n<li>Grape is also bile stimulating and a cleansing remedy for sluggish digestion and laxative.<\/li>\n<li>Redbeets also stimulate and improve digestion and are easily digested.<\/li>\n<li>Cabbage also stimulates and improves digestion and is also a liver decongestant.<\/li>\n<li>Lettuce also stimulates and improves digestion and is also an alterative, meaning it improves the function of organs involved with the digestion and excretion of waste products to bring about a gradual change.<\/li>\n<li>Potatoes are antispasmodic (due to atropine like properties) and a liver remedy.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>Carminative Herb Remedies:<\/strong><\/p>\n<ul class=\"cp_bullet green\" style=\"text-align: justify\">\n<li>Sage is also a digestive, astringent, bile stimulant and energy tonic that heals the mucosa. \u00a0Drink as tea or use in cooking.<\/li>\n<li>Chamomile, lemon balm, and fennel, (as a tea) also help relieve nervous tension.<\/li>\n<li>Parsley also relieves indigestion.<\/li>\n<li>Rosemary as a tea and in cooking also is a nervous system tonic for stress and fatigue, bile stimulant, and can relieve headaches and indigestion.<\/li>\n<li>Thyme is also soothing remedy useful for stimulating digestion of rich, fatty foods.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>Carminative Spice Remedies:<\/strong><\/p>\n<ul class=\"cp_bullet green\" style=\"text-align: justify\">\n<li>Cloves are also antispasmodic.<\/li>\n<li>Nutmeg is also useful for indigestion.<\/li>\n<li>Ginger.\n\t\t\t<\/div><\/div><\/li>\n<\/ul>\n<p style=\"text-align: justify\"><div class=\"box shadow\"><div class=\"box-inner-block\"><i class=\"tieicon-boxicon\"><\/i>\n\t\t\t<strong>Exercise Helps<\/strong>:<\/p>\n<p style=\"text-align: justify\">Exercise improves circulation and rids the body of toxins but must be taken only to toleration because over exercise that stresses the body can provoke a flare-up of lupus symptoms.<\/p>\n<ul class=\"cp_bullet green\" style=\"text-align: justify\">\n<li>Walking is aerobic exercise that reconditions the whole body to improve stamina.\u00a0Read more about<a href=\"https:\/\/glutenfreeworks.com\/health\/2014\/07\/08\/fitness-guide\/\">\u00a0Exercise and Fitness<\/a>.<\/li>\n<li>Weight training builds muscle.\u00a0Read more about\u00a0<a href=\"https:\/\/glutenfreeworks.com\/health\/2014\/07\/08\/fitness-guide\/\">Exercise and Fitness<\/a>.<\/li>\n<li>Stretching improves flexibilty.\u00a0Read more about\u00a0<a href=\"https:\/\/glutenfreeworks.com\/health\/2014\/07\/08\/fitness-guide\/\">Exercise and Fitness<\/a>.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>Note<\/strong>: Exercise is important, but the amount and type of exercise undertaken depends on your health. Your first priority is to heal. \n\t\t\t<\/div><\/div>\n<h2 style=\"text-align: justify\">What Do Medical Research Studies Tell About Systemic Lupus Erythematosus?<\/h2>\n<h4><strong>RESEARCH STUDY SUMMARIES<\/strong><\/h4>\n<p style=\"text-align: justify\"><b>\u201cSpectrum of autoantibodies for gastrointestinal autoimmune diseases in systemic lupus erythematosus patients.\u201d<\/b> This study investigating the occurrence of gastrointestinal organ-specific autoantibodies in 194 patients with\u00a0systemic\u00a0lupus\u00a0and 103 healthy controls from Southern Brazil found that IgA-EmA (endomysium autoantibodies signifying celiac disease) was significantly associated with\u00a0lupus\u00a0with the presence of discoid lesions.<\/p>\n<p style=\"text-align: justify\">Anti-endomysium antibodies (IgA-EmA), anti-gastric parietal cells (GPC) antibodies, anti-smooth muscle antibodies (ASMA), anti-mitochondrial antibodies (AMA) and anti-LKM-1 (liver-kidney microsomal) were searched for using indirect immunofluorescence in the sera of patients and controls. The total positivity of antibodies in SLE patients was 14.4% (28\/194) and differed significantly from healthy individuals (0.97%; p&lt;0.001). IgA-EmA was more common in\u00a0lupus\u00a0patients than in controls (11\/194; p=0.009), and one of these patients had dermatitis herpetiformis. Clinical association revealed that IgA-EmA was more common in SLE patients with discoid lesions. The frequency of anti-GPC (p=0.10), ASMA (p=0.16) and AMA (p=0.55) did not differ significantly between groups. No patient presented LKM-1 autoantibodies. One patient presenting anti-GPC was diagnosed with atrophic gastritis and pernicious anemia.<a href=\"#footnote_15_479\" id=\"identifier_23_479\" class=\"footnote-link footnote-identifier-link\" title=\"Picceli VF1, Skare TL, Nisihara R, Kotze L, Messias-Reason I, Utiyama SR. Spectrum of autoantibodies for gastrointestinal autoimmune diseases in systemic lupus erythematosus patients. Lupus. 2013 Oct;22(11):1150-5.\">15<\/a><\/p>\n<p style=\"text-align: justify\"><b>\u201cHospital admissions for vitamin D related conditions and subsequent immune-mediated disease: record-linkage studies.&#8221;<\/b>\u00a0This public health study investigating a possible association between vitamin D deficiency and the risk of developing immune-mediated diseases found that patients with vitamin D deficiency may have an increased risk of developing some immune-mediated diseases, including Lupus although reverse causality or confounding cannot be ruled out.<\/p>\n<p style=\"text-align: justify\">A database of linked statistical records of hospital admissions and death registrations for the whole of England (from 1999 to 2011) were analyzed. Rate ratios for immune-mediated\u00a0disease\u00a0were determined, comparing vitamin D deficient cohorts (individuals admitted for vitamin D deficiency or markers of vitamin D deficiency) with comparison cohorts. After hospital admission for either vitamin D deficiency, osteomalacia or rickets, there were significantly elevated rates of Addison&#8217;sdisease, ankylosing spondylitis, autoimmune hemolytic anemia, chronic active hepatitis,\u00a0celiac disease, Crohn&#8217;s\u00a0disease, diabetes mellitus, pemphigoid, pernicious anemia, primary biliary cirrhosis, rheumatoid arthritis, Sjogren&#8217;s syndrome,\u00a0systemic lupus erythematosus, thyrotoxicosis.<a href=\"#footnote_16_479\" id=\"identifier_24_479\" class=\"footnote-link footnote-identifier-link\" title=\"Ramagopalan SV1, Goldacre R, Disanto G, Giovannoni G, Goldacre MJ. Hospital admissions for vitamin D related conditions and subsequent immune-mediated disease: record-linkage studies. BMC Med. 2013 Jul 25;11:171. doi: 10.1186\/1741-7015-11-171.\">16<\/a><\/p>\n<p style=\"text-align: justify\"><b>\u201cIncreased risk of systemic lupus erythematosus in 29,000 patients with biopsy-verified celiac disease.&#8221;<\/b>\u00a0This nationwide study investigating a possible association between\u00a0celiac disease\u00a0(CD) and\u00a0systemic lupus erythematosus\u00a0(SLE) found that Individuals with CD were at a 3-fold increased risk of SLE compared to the general population. Although this excess risk remained more than 5 years after CD diagnosis, absolute risks were low. \u00a0<b><\/b><\/p>\n<p style=\"text-align: justify\">The risk of SLE was compared in 29,048 individuals with biopsy-verified CD (villous atrophy, Marsh 3) from Sweden&#8217;s 28 pathology departments with that in 144,352 matched individuals from the general population identified through the Swedish Total Population Register. SLE was defined as having at least 2 records of SLE in the Swedish Patient Register. We used Cox regression to estimate hazard ratios (HR) for SLE.<b><\/b><\/p>\n<p style=\"text-align: justify\">During follow-up, 54 individuals with CD had an incident SLE. This corresponded to an HR of 3.49%. Beyond 5 years of follow-up, the HR for SLE was 2.54%.<a href=\"#footnote_17_479\" id=\"identifier_25_479\" class=\"footnote-link footnote-identifier-link\" title=\"Ludvigsson JF1, Rubio-Tapia A, Chowdhary V, Murray JA, Simard JF. Increased risk of systemic lupus erythematosus in 29,000 patients with biopsy-verified celiac disease. J Rheumatol. 2012 Oct;39(10):1964-70. doi: 10.3899\/jrheum.120493.\">17<\/a><\/p>\n<h4 style=\"text-align: justify\"><strong>CASE REPORT SUMMARIES<\/strong><\/h4>\n<p style=\"text-align: justify\">&#8220;<strong>Systemic lupus erythematosus, celiac disease and antiphospholipid antibody syndrome: a rare association<\/strong>.&#8221; This case report decribes the beneficial treatment of a patient diagnosed with celiac disease who had systemic lupus erythematosus and antiphospholipid antibody syndrome, an association which has never been described before.<a href=\"#footnote_18_479\" id=\"identifier_26_479\" class=\"footnote-link footnote-identifier-link\" title=\"Gupta D, Mirza N. Systemic lupus erythematosus, celiac disease and antiphospholipid antibody syndrome: a rare association. Rheumatol Int. 2008 Sep;28(11):1179-80. doi: 10.1007\/s00296-008-0603-y.\">18<\/a><\/p>\n<p style=\"text-align: justify\">&#8220;<strong>Celiac disease in systemic lupus erythematosus: a case report<\/strong>.&#8221; This case report describes the coexistence of systemic lupus erythematosus (SLE) with celiac disease. Systemic lupus erythematosus was diagnosed prior to celiac disease and initially SLE treatment was administered. After several years, when celiac disease symptoms developed, the diagnosis was corrected and additional treatment with a gluten-free diet was applied with beneficial effects.<a href=\"#footnote_19_479\" id=\"identifier_27_479\" class=\"footnote-link footnote-identifier-link\" title=\"Hrycek A, Siekiera U. Coeliac disease in systemic lupus erythematosus: a case report. Rheumatol Int. 2008 Mar;28(5):491-3.\">19<\/a><\/p>\n<p style=\"text-align: justify\"><strong>\u201cSystemic lupus erythematosus with celiac disease: a report of five cases.\u201d<\/strong> In five cases of SLE with villous atrophy on duodenal biopsy, only four had positive serological tests for celiac disease and only three had abdominal symptoms.<a href=\"#footnote_20_479\" id=\"identifier_28_479\" class=\"footnote-link footnote-identifier-link\" title=\"Zitouni M, Daoud W, Kallel M, Makni S. Systemic lupus erythematosus with celiac disease: a report of five cases. Joint, Bone, Spine: Revue Du Rhuatisme. Jul 2004;71(4):344-6.\">20<\/a><\/p>\n<p style=\"text-align: justify\"><strong>\u201cDiseases associated with dermatitis herpetiformis.&#8221;<\/strong> This study investigating the occurrence of associated diseases in a cohort of 305 patients with dermatitis herpetiformis (DH) who were followed for an average of 10 years compared with results from a cohort of patients with celiac disease demonstrated a prevalence of SLE in 1.3% of DH patients.<a href=\"#footnote_8_479\" id=\"identifier_29_479\" class=\"footnote-link footnote-identifier-link\" title=\"Reunala T, Collin P. Diseases associated with dermatitis herpetiformis. British Journal of Dermatology. Mar 1997;136(3):315-8.\">8<\/a><\/p>\n<p style=\"text-align: justify\">\n<ol class=\"footnotes\"><li id=\"footnote_1_479\" class=\"footnote\">http:\/\/www.cdc.gov\/arthritis\/basics\/lupus.htm<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_1_479\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_3_479\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_2_479\" class=\"footnote\">www.nlm.nih.gov\/medlineplus\/ency\/article\/000446.htm<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_2_479\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_3_479\" class=\"footnote\">Picceli VF1, Skare TL, Nisihara R, Kotze L, Messias-Reason I, Utiyama SR. Spectrum of autoantibodies for gastrointestinal autoimmune diseases in systemic lupus erythematosus patients.\u00a0<em>Lupus<\/em>. 2013 Oct;22(11):1150-5.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_4_479\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_9_479\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_4_479\" class=\"footnote\">La Villa G, Pantaleo P, Tarquini R, Cirami L, Perfetto F, Mancuso F, Laffi G. Multiple immune disorders in unrecognized celiac disease: a case report. <em>World J Gastroenterol<\/em>. 2003;9(6):1377-1380, Available at: http:\/\/www.wjgnet.com\/1007-9327\/9\/1377.asp.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_5_479\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_5_479\" class=\"footnote\">Shamir R, Shoenfeld Y, Blank M, et al. The prevalence of coeliac disease antibodies in patients with the antiphospholipid syndrome. <em>Lupus<\/em>. 2003;32:394-9.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_6_479\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_6_479\" class=\"footnote\">Kamen D1, Aranow C. Vitamin D in systemic lupus erythematosus. <em>Curr Opin Rheumatol<\/em>. 2008 Sep;20(5):532-7. doi: 10.1097\/BOR.0b013e32830a991b.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_7_479\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_15_479\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_7_479\" class=\"footnote\">Ludvigsson JF1, Rubio-Tapia A, Chowdhary V, Murray JA, Simard JF. Increased risk of systemic lupus erythematosus in 29,000 patients with biopsy-verified celiac disease.\u00a0<em>J Rheumatol<\/em>. 2012 Oct;39(10):1964-70. doi: 10.3899\/jrheum.120493. Epub 2012 Aug 1.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_8_479\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_8_479\" class=\"footnote\">Reunala T, Collin P. Diseases associated with dermatitis herpetiformis. <em>British Journal of Dermatology<\/em>. Mar 1997;136(3):315-8.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_10_479\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_29_479\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_9_479\" class=\"footnote\">Kamen D1, Aranow C. Vitamin D in systemic lupus erythematosus.\u00a0<em>Curr Opin Rheumatol<\/em>. 2008 Sep;20(5):532-7. doi: 10.1097\/BOR.0b013e32830a991b.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_11_479\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_10_479\" class=\"footnote\">Ramagopalan SV, Goldacre R, Disanto G, Giovannoni G, Goldacre MJ. Hospital admissions for vitamin D related conditions and subsequent immune-mediated disease: record-linkage studies. <em>BMC Med<\/em>. 2013 Jul 25;11:171. doi: 10.1186\/1741-7015-11-171.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_12_479\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_11_479\" class=\"footnote\">Hrycek A, Siekiera U. Coeliac disease in systemic lupus erythematosus: a case report.\u00a0<em>Rheumatol Int.<\/em>\u00a02008 Mar;28(5):491-3. Epub 2007 Oct 9.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_13_479\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_12_479\" class=\"footnote\">Gupta D, Mirza N. Systemic lupus erythematosus, celiac disease and antiphospholipid antibody syndrome: a rare association.<em>\u00a0Rheumatol Int<\/em>. 2008 Sep;28(11):1179-80. doi: 10.1007\/s00296-008-0603-y. Epub 2008 May 17.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_14_479\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_13_479\" class=\"footnote\">Cummins AG, Thompson FM, Butler RN, et al. Improvement in intestinal permeability precedes morphometric recovery of the small intestine in coeliac disease.\u00a0<em>Clinical Science<\/em>. Apr 2001;100(4):379-86.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_16_479\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_14_479\" class=\"footnote\">Farhadi A, Banan A, Fields J, Keshavarzian A. 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Coeliac disease in systemic lupus erythematosus: a case report. <em>Rheumatol Int.<\/em> 2008 Mar;28(5):491-3.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_27_479\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_20_479\" class=\"footnote\">Zitouni M, Daoud W, Kallel M, Makni S. Systemic lupus erythematosus with celiac disease: a report of five cases. <em>Joint, Bone, Spine: Revue Du Rhuatisme<\/em>. Jul 2004;71(4):344-6. <span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_28_479\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><\/ol>","protected":false},"excerpt":{"rendered":"<p>What Is Systemic Lupus Erythematosus? Systemic lupus erythematosus\u00a0(SLE) is a chronic autoimmune inflammatory disease that is characterized by involvement of multiple organs due to\u00a0the production of antibodies to components of the cell nucleus.1 SLE has an unpredictable course of acute flare-ups and remissions. Severity depends on the extent of organs affected with skin and nail &#8230;<\/p>\n","protected":false},"author":29,"featured_media":6657,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"footnotes":""},"categories":[4,173,779,408,218,54,65,55,56,123],"tags":[300,1946,672,101,1992,2126,1526,1545,1601,886,447,327,1088,1686,1012,776,2052,800,619,1054,1546,2125,2123,2122,1042,2127,1288,1089,1499,849,2124,1030,1582,1908],"class_list":["post-479","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health-conditions-2","category-antibodies","category-associated-disorder","category-autoimmune","category-joints","category-cardiovascular","category-digestive","category-immune-2","category-integumentary-2","category-vitamin-e","tag-anemia","tag-antibodies","tag-arthritis","tag-associated-disorders","tag-autoimmune","tag-autoimmune-thrombocytopenia","tag-blood-clots","tag-butterfly-rash","tag-calcinosis","tag-chronic-fatigue-lassitude","tag-death","tag-fatigue","tag-fever","tag-gerd","tag-hair-loss","tag-health-conditions","tag-heart-attack","tag-heartburn","tag-inflammation","tag-joint-pain","tag-low-white-blood-cell-count","tag-lymphopenia","tag-mouth-ulcers","tag-pleurisy","tag-pneumonia","tag-red-raised-rash","tag-skin-rash","tag-stroke","tag-system-immune","tag-systemic-lupus-erythematosus","tag-throat-ulcers","tag-thrombocytopenia","tag-uveitis","tag-vitamin-d"],"_links":{"self":[{"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/posts\/479","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/users\/29"}],"replies":[{"embeddable":true,"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/comments?post=479"}],"version-history":[{"count":42,"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/posts\/479\/revisions"}],"predecessor-version":[{"id":17938,"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/posts\/479\/revisions\/17938"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/media\/6657"}],"wp:attachment":[{"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/media?parent=479"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/categories?post=479"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/tags?post=479"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}