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I met my Lupus on a sunny day of April 2003 when I was 23 years old.

A year ago, I was hospitalized because I fainted with seizures. At the time, the doctors told me that anyone can have such episodes once or twice during their life. However, a neurologist in training thought that I was suffering from Multiple Sclerosis so I went through a lot of blood tests and other examinations, until my diagnosis was confirmed. It was early Spring. Everything in nature was colorful and vivid, but my body was going to have a “roommate” for the rest its life. My doctor told me that I didn’t have MS but “Systemic Lupus Erythematosus”. “What is it? What do I have to do?”, I asked naively. “If you follow my instructions and have a healthy diet, everything is going to be o.k.”, he said. Unfortunately, my lupus was more aggressive than we could imagine at that time.

It started with intense epilepsy. I had several seizures, one after another. I felt like I was dying and reviving, over and over. I had pain all over and it was very hard for my family to watch. I had to quit my job. Eventually, after a lot of drugs, my epilepsy started to stabilize.

Two years later, my lupus decided to attack again. Myositis! My whole body ached. I couldn’t walk, I couldn’t comb my hair, I couldn’t even get dressed! 40 days in hospital, many drugs and a biopsy which confirmed that my muscles were affected. I was desperate! My fiancé was understandably anxious about our future. At the same time, my kidneys were affected too! That made things even more difficult. Yet more new drugs and a lot of nights which passed by with me watching drug infusions drop by drop. I had to learn to walk again, like a little child, one step at a time. I was so weak! During this period, doctors and nurses stood by me, always with a smile. I was their “Barbie” because of my pink pyjamas and my colorful blanket which they always let me have. During those years, I had several infections, most of them indefinable. I was prone to almost everything! That flare lasted for about two years. There was an ongoing problem with my CPK, which was always high! New prescriptions and new restrictions followed. I was always a disciplined patient, like a soldier. Every word the doctors said was law for me. Finally, with a lot of trying, many prayers and a strong will for life, we managed to get my flare under control.

Two peaceful years followed until the end of 2008, when I got pregnant for the first time. So much happiness, so many dreams and then, in the seventh week, I had my first miscarriage. Tears returned to my eyes again but this was a different pain. Another try five months later and I dared smile again. I was pregnant for a second time but unfortunately that pregnancy also ended, this time at nine weeks. Five months later, I was pregnant for a third time and I went through the most painful experience so far when I gave birth to a still born baby in the seventeenth week. I wanted a baby so much! I wanted to see my husband happy! After four months, we decided to try in vitro-fertilization with pre-implantation diagnosis in order to increase our chances. We were defeated again in August 2010, in the ninth week of my pregnancy. I was crying non-stop, my heart was broken! I couldn’t stand seeing babies and it broke my heart when I was invited to children’s birthday parties.

All these bad thoughts provoked another lupus flare, the worst so far. Summer of 2011, I was exhausted even by a tiny effort. I had a severe cough and I was breathless. This time I had pulmonary fibrosis. I was devastated. No, it couldn’t be true. My lupus was slapping me again and again, stealing my oxygen. I couldn’t even speak! My doctors were insistent: chemotherapy! I refused because I really wanted to have a baby. I asked for alternative medication. That led to a lot of prednisolone and many hospitalizations. My spirometry result started to improve from 18% to 25%, even 35%. I was happy and ready to try again for a baby, despite the high risks. On April 2013 my fifth pregnancy ended in the eighth week and my dream went away. My fibrosis got worse and I finally accepted chemotherapy. My doctors prescribed me injections in order to protect my fertility and even though I was terrified, I started. It was really hard for me to accept my situation and I started to suffer from depression. I didn’t want to see anyone, I cried non-stop and I lost a lot of weight without controlling it. I decided that I needed to see a psychologist. Right from the very first visit, she made me see things differently, she was really helpful.

Since October 2013 I have been on Cellcept® and things are getting better and better! My spirometry result is up to 60% and my doctors are proud of me.

Over these years, I have learnt to love my lupus, despite so many difficult moments. I know that I need to relax and be as happy as I can. My lupus has made me strive to always try my best. We live together in the same body. When I am content within myself, it is reflected in my body. I have been lucky to receive so much love and tenderness from my doctors, nurses and everyone who is involved. I have learnt from all this that we should always be positive thinkers and never give up. After all, what counts in life is not how many times you fall, but how many times you get up!

Anna from Greece

Anna is a member of the Hellenic League Against Rheumatism – El. E. AN. A

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☀️ As we close our #LupusUVprotection campaign, here is one important reminder:

👉 UV protection in lupus is not only about sunny beach days.

😶‍🌫️ UV exposure can happen on cloudy days, near some windows, while travelling by car, or through certain artificial light sources. And in some people with lupus, its effects may not appear immediately.

‼️ That is why clear, reliable information matters.

Whether you have questions about UV light, photosensitivity, skin symptoms, flares, fatigue, daily life with lupus, or many other lupus-related topics, Lupus Europe provides free, reliable and multilingual tools to support you:

🔹 #𝗟𝘂𝗽𝘂𝘀𝟭𝟬𝟬
Patient-friendly answers to 100 key questions about lupus, including sun exposure and UV protection
lupus100.org/en/questions/can-i-sunbathe-with-lupus

Created with lupus experts & patients. Available in 19 languages.

🔹 #𝗟𝘂𝗽𝘂𝘀𝗚𝗣𝗧
A free artificial intelligence tool to help people find reliable, valid lupus information in almost any language.:
lupusgpt.org/

🔹 #𝗘𝗮𝘀𝘆𝗟𝘂𝗽𝘂𝘀
Like LupusGPT, but designed to make the answers even easier to understand:
easy.lupusgpt.org/

🦋 Because lupus does not only affect clinic appointments. It affects everyday life.

✅ Stay informed. Ask questions. Use reliable resources.
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✅ Yesterday Lupus Europe took part in the DORIS+ meeting in London, alongside clinicians, researchers and patient representatives working on a definition of deep remission in #SLE.

🌟 Lupus Europe was wonderfully represented by Jeanette Andersen, Chair of the Lupus Europe Board, Francesca Marchiori, Lupus Europe Board and PAN Member, Blanca Rubio, PAN Member and Zoe Karakikla-Mitsakou, Lupus Europe General Secretary.

🦋 This continues Lupus Europe involvement in the work on remission in lupus, building on the original DORIS initiative, where Lupus Europe also contributed.

🤔 But what is DORIS?

DORIS stands for Definitions Of Remission In SLE. It helped establish a clinical definition of remission in systemic lupus erythematosus.

🐠 DORIS+ builds on that foundation and explores the concept of deep remission.

💁‍♀️ Since the original DORIS definition was published, emerging evidence has suggested that a deeper state of remission may be within reach for at least some people with lupus. DORIS+ aims to better define what that could mean.

This matters because remission is an important concept for research, clinical care and people living with lupus.

🦋 Lupus Europe is proud to be part of this important taskforce alongside many lupologists and researchers including Prof. Laurent Arnaud, Prof. Ronald van Vollenhoven, Prof. Zahi Touma, Prof. David Isenberg, Prof. Mariele Gatto, Prof. Ioannis Parodis, Prof. Eloisa Bonfá, Prof. Frédéric A. Houssiau, Prof. Andrea Doria, Prof. Ricard Cervera and Prof. Maarten Limper.

😃 We will keep you updated!
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☀️ 𝗨𝗩 𝗹𝗶𝗴𝗵𝘁 𝗮𝗻𝗱 𝗹𝘂𝗽𝘂𝘀: 𝘂𝗻𝗱𝗲𝗿𝘀𝘁𝗮𝗻𝗱𝗶𝗻𝗴 𝘁𝗵𝗲 𝗱𝗶𝗳𝗳𝗲𝗿𝗲𝗻𝗰𝗲 𝗯𝗲𝘁𝘄𝗲𝗲𝗻 𝗨𝗩𝗔 𝗮𝗻𝗱 𝗨𝗩𝗕 𝗺𝗮𝘁𝘁𝗲𝗿𝘀.

Ultraviolet light is one of the components of solar radiation. In lupus, UV exposure can contribute to 𝘄𝗼𝗿𝘀𝗲𝗻𝗶𝗻𝗴 𝘀𝘆𝗺𝗽𝘁𝗼𝗺𝘀 𝗼𝗿 𝘁𝗿𝗶𝗴𝗴𝗲𝗿𝗶𝗻𝗴 𝗳𝗹𝗮𝗿𝗲𝘀 in some people.

💁‍♀️ That is why we are launching our #lupusuvprotection campaign: to raise awareness of the impact UV light can have on people living with lupus, especially during summer.

🦋 Photosensitivity is one of the most common manifestations of systemic lupus erythematosus. In the Lupus Europe Living with SLE in 2020 survey, 𝗽𝗵𝗼𝘁𝗼𝘀𝗲𝗻𝘀𝗶𝘁𝗶𝘃𝗶𝘁𝘆 𝘄𝗮𝘀 𝗿𝗲𝗽𝗼𝗿𝘁𝗲𝗱 𝗯𝘆 𝟲𝟴.𝟱% of respondents.

But UV-related lupus symptoms do not always affect only the skin. UV exposure has also been associated with systemic symptoms such as 𝗳𝗮𝘁𝗶𝗴𝘂𝗲 𝗮𝗻𝗱 𝗷𝗼𝗶𝗻𝘁 𝗽𝗮𝗶𝗻, and may contribute to 𝗱𝗶𝘀𝗲𝗮𝘀𝗲 𝗮𝗰𝘁𝗶𝘃𝗮𝘁𝗶𝗼𝗻 in some people.

So what is the difference?

🔴 𝗨𝗩𝗕 𝗿𝗮𝗱𝗶𝗮𝘁𝗶𝗼𝗻:
🔸 Is mainly associated with sunburn.
🔸 Its intensity fluctuates during the day.
🔸 It is usually strongest around the middle of the day.
🔸 It mainly affects the outer layers of the skin.

🔴 𝗨𝗩𝗔 𝗿𝗮𝗱𝗶𝗮𝘁𝗶𝗼𝗻:
🔸 Penetrates deeper into the skin.
🔸 Is associated with skin ageing.
🔸 Its intensity is more constant during the day.
🔸 It can penetrate clouds and windows.

🌡️ 𝗜𝗻𝗳𝗿𝗮𝗿𝗲𝗱 𝗿𝗮𝗱𝗶𝗮𝘁𝗶𝗼𝗻:
🔸 Is perceived as heat.
🔸 Feeling less heat does not necessarily mean there is no UV exposure.

‼️ This is important because UV exposure can still happen even when the sun does not feel strong. UVA rays can pass through clouds and some types of glass, which means UV protection may still be relevant on cloudy days, near windows, while travelling by car or during everyday activities.

Although not everyone with lupus is photosensitive, people living with lupus are encouraged to discuss UV protection with their healthcare team and to learn what protective measures are appropriate for them.

Learn more through #Lupus100:
f.mtr.cool/lptcxwpubz

You can also ask #lupusgpt or #easylupus questions about lupus and UV light:
f.mtr.cool/nfccvjbbep
f.mtr.cool/clxgzteshl

Information on Lupus100 is available in several languages:

🇩🇰 f.mtr.cool/lkmkxyanqw
🇩🇪 f.mtr.cool/jmyfwcgsae
🇪🇸 f.mtr.cool/kdixsnubvi
🇬🇷 f.mtr.cool/dpqkzkejog
🇫🇷 f.mtr.cool/lwhtfzpnte
🇮🇹 f.mtr.cool/utsezhzrqp
🇳🇱 f.mtr.cool/sbfwktzpdr
🇷🇴 f.mtr.cool/xbcdhkqyud
🇫🇮 f.mtr.cool/hkfvtmjobx
🇺🇦 f.mtr.cool/cgpmlevqlb

#lupusuvprotection
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☀️ #heatwave can affect your health, especially if you have #lupus.

The WHO notes that hot weather can exacerbate existing medical conditions and that people with chronic illness may be more vulnerable during periods of extreme heat.

Has your doctor ever spoken to you about how to stay safe during extreme heat?

Reliable information can help you plan ahead and protect your health.

Before and during a heatwave:

✅ Plan essential outdoor activities for cooler hours
✅ Stay in the shade and keep indoor spaces as cool as possible
✅ Drink water regularly
✅ Avoid alcohol and limit sugary or caffeinated drinks
✅ Protect yourself from UV light if you need to go outside
✅ Check how your medicines should be stored
✅ Seek medical advice if you experience unusual symptoms or if symptoms persist

❓ Questions about lupus, UV and heat?

Explore reliable lupus information through #Lupus100, #lupusgpt or #easylupus. Free, multilingual, anonymous tools and resources, validated by lupologists and patients.

Save this post and share it with someone who may need it this summer.
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