10

May 10th is World Lupus Day

What is lupus?

Lupus is a chronic autoimmune disease that causes the immune system to attack the body’s connective tissue and organs. Parts of the body affected can include the joints, kidneys, heart, lungs, brain, blood and skin.

Up to 500,000 people in Europe have lupus. 90% of people with lupus are women and 80% of diagnoses are made between the ages of 15 and 45.

Symptoms can vary. The less severe ones include rashes, hair loss (alopecia), swollen glands, photosensitivity, joint pain and ulcers in the mouth or nose. In more severe cases, lupus may cause pleurisy, pericarditis, psychosis, meningitis, epilepsy or kidney failure. In young women, lupus can cause miscarriage or premature delivery.

If lupus affects vital organs and is left untreated it can be potentially fatal as it may cause organ damage and failure. Fortunately, in most cases, treatment puts lupus into remission before that can happen.

Great progress has been made developing treatment plans that considerably reduce lupus activity for most patients, however there is no cure yet! Typical treatment may include antimalarials (hydroxychloroquine), steroids (prednisolone), non-steroidal anti-inflammatories, and immuno-suppressants. Many patients do well on current medication but patients with more severe forms of lupus need more treatment options and solutions which reduce the current reliance on cortisone and its many long term side-effects. A complete treatment plan should also include physical exercise which is proven to have positive effects on fatigue, pain and mental health.

In March 2011, a new biological treatment became the first FDA-approved lupus drug treatment in over 50 years, however, is only used in limited cases due to its high cost. Several new treatments are now in the research and development process, but lupus research remains challenging because the disease itself is so multifaceted and complex in origin, with a mixture of genetic, environmental and other factors that has yet to be understood.

For most patients, living a full life with lupus is now possible, thanks to increasingly accepted standards of care, but this relies on early diagnosis, consistent treatment prescribed by a lupus specialist, and adherence to medication. Getting back to an active professional life may present a challenge for some but many people are able to return once their lupus is well controlled. Most women who want to start a family will also be able to if they plan their pregnancy carefully, with specialist supervision.

lupus europe

What is LUPUS EUROPE?

LUPUS EUROPE is an umbrella organisation that federates national lupus groups across Europe. It represents 26 groups (between 15-6,000 members), in 24 countries (33,000 people in all). It was first formed in 2000 (formerly known as ELEF).

LUPUS EUROPE’s activities include raising awareness, sharing information between members and countries, empowering national groups, and helping members participate in and benefit from research. Over the years, LUPUS EUROPE has fought hard for patient-centred care and the inclusion of patient organisations as valued healthcare stakeholders.

 

kick lupus poster with logo

The Kick Lupus campaign – Why ‘Kick Lupus’?

The campaign ‘Kick Lupus!’ focuses on the need for the development of better treatments, increased awareness about the disease’s impact, and management options for patients, carers and health professionals.

Kick-starting a better life – adhere to treatment: Not taking medication or taking it incorrectly is the #1 reason why treatment doesn’t work. Treatment is critical to living well with lupus. Know your pills, and follow your doctor’s advice. Doing so will help you kick your lupus!

Kicking ideas around – patient/doctor communication is key: We will only win in lupus if we work together as a team. The Doctor/Patient relationship is crucial: agreeing on treatment plans, working together on new treatment options, and participating in research to better kick lupus into oblivion!

Kicking yourself into shape: physical activity reduces tiredness and pain: It has been scientifically proven that physical activity helps reduce fatigue and pain. This is also true for people with lupus. It can be hard to exercise at first but it soon starts to pay. Exercise regularly, gradually increasing difficulty and endurance. A key component in kicking lupus!

Kicking lupus awareness into midfield: volunteer in your local group: You are not alone. Many of us are trying to kick lupus, and we need to move together, cheering each other on when we feel the burden – helping each other when we can. All our member organisations need volunteers to increase awareness and take projects forwards, kicking lupus together!

Help us Kick lupus NOW! Take your first steps today. You can find the list of local member groups on the LUPUS EUROPE Website (www.lupus-europe.org).

 

 

 

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13 hours ago

🌟 𝐇𝐢𝐠𝐡𝐥𝐢𝐠𝐡𝐭𝐬 𝐨𝐟 𝐭𝐡𝐞 𝐬𝐞𝐜𝐨𝐧𝐝 𝐝𝐚𝐲 𝐨𝐟 𝐭𝐡𝐞 #𝐋𝐮𝐩𝐮𝐬𝐀𝐜𝐚𝐝𝐞𝐦𝐲𝟐𝟎𝟐𝟒 𝐌𝐞𝐞𝐭𝐢𝐧𝐠❗

🤩 What an incredible day with insightful sessions and important discussions about #SLE!

💫 𝐖𝐞 𝐚𝐫𝐞 𝐢𝐧𝐜𝐫𝐞𝐝𝐢𝐛𝐥𝐲 𝐩𝐫𝐨𝐮𝐝 𝐨𝐟 𝐭𝐨𝐝𝐚𝐲'𝐬 𝐰𝐨𝐫𝐤𝐬𝐡𝐨𝐩 𝐥𝐞𝐝 𝐛𝐲 𝐨𝐮𝐫 𝐂𝐡𝐚𝐢𝐫, 𝐉𝐞𝐚𝐧𝐞𝐭𝐭𝐞, 𝐚𝐥𝐨𝐧𝐠𝐬𝐢𝐝𝐞 𝐏𝐫𝐨𝐟. 𝐀𝐫𝐧𝐚𝐮𝐝 𝐚𝐧𝐝 𝐃𝐚𝐥𝐢𝐥𝐚, 𝐨𝐧 𝐢𝐧𝐜𝐨𝐫𝐩𝐨𝐫𝐚𝐭𝐢𝐧𝐠 𝐭𝐡𝐞 𝐩𝐚𝐭𝐢𝐞𝐧𝐭’𝐬 𝐩𝐞𝐫𝐬𝐩𝐞𝐜𝐭𝐢𝐯𝐞 𝐢𝐧 𝐥𝐮𝐩𝐮𝐬 𝐦𝐚𝐧𝐚𝐠𝐞𝐦𝐞𝐧𝐭❗

Stay tuned for tomorrow, where we'll dive deeper into the insights shared!

📝 Here's a recap of the key moments:

🫀 𝐌𝐚𝐧𝐚𝐠𝐢𝐧𝐠 𝐜𝐚𝐫𝐝𝐢𝐨𝐯𝐚𝐬𝐜𝐮𝐥𝐚𝐫 𝐚𝐧𝐝 𝐥𝐮𝐧𝐠 𝐝𝐢𝐬𝐞𝐚𝐬𝐞 𝐢𝐧 #𝐥𝐮𝐩𝐮𝐬
Dr. Bernardo Pons-Estel and Dr. Anisur Rahman tackled the complexities of managing heart and lung complications in #SLE, emphasising early detection and intervention to reduce risk.

🩸 𝐌𝐚𝐧𝐚𝐠𝐢𝐧𝐠 𝐡𝐚𝐞𝐦𝐚𝐭𝐨𝐥𝐨𝐠𝐢𝐜𝐚𝐥 𝐩𝐫𝐨𝐛𝐥𝐞𝐦𝐬 𝐢𝐧 𝐥𝐮𝐩𝐮𝐬
Dr Ricard Cervera and Dr Raquel Faria discussed the importance of addressing haematological issues in lupus, including anaemia and thrombocytopenia.

🌍 𝐌𝐚𝐧𝐚𝐠𝐢𝐧𝐠 𝐬𝐤𝐢𝐧 𝐝𝐢𝐬𝐞𝐚𝐬𝐞 𝐢𝐧 𝐥𝐮𝐩𝐮𝐬
Dr Andrea Doria and Dr Annegret Kuhn highlighted the challenges of treating lupus skin involvement, stressing the role of dermatologists in multidisciplinary care.

🤰 𝐌𝐚𝐧𝐚𝐠𝐢𝐧𝐠 𝐩𝐫𝐞𝐠𝐧𝐚𝐧𝐜𝐲 𝐢𝐧 𝐥𝐮𝐩𝐮𝐬
Dr Sandra Navarra and Dr Irene Bultink covered the delicate balance of managing lupus during pregnancy, with an emphasis on preconception counselling and close monitoring throughout gestation.

💉 𝐌𝐚𝐧𝐚𝐠𝐢𝐧𝐠 𝐛𝐢𝐨𝐥𝐨𝐠𝐢𝐜𝐬/𝐭𝐚𝐫𝐠𝐞𝐭𝐞𝐝 𝐭𝐡𝐞𝐫𝐚𝐩𝐢𝐞𝐬 𝐢𝐧 𝐥𝐮𝐩𝐮𝐬 𝐧𝐞𝐩𝐡𝐫𝐢𝐭𝐢𝐬
Dr. Maria Dall’Era and Dr. Alexandre Voskuyl presented the latest advancements in biologics and targeted therapies, focusing on personalised treatments for lupus nephritis.

🔬 𝐍𝐨𝐯𝐞𝐥 𝐭𝐡𝐞𝐫𝐚𝐩𝐢𝐞𝐬
The afternoon covered novel therapies, including CAR-T cell therapy, where Dr Ronald van Vollenhoven and Dr Richard Furie addressed the potential and limitations of these emerging treatments for lupus. While CAR-T holds promise, it's crucial to manage expectations.

🫀 𝐇𝐞𝐚𝐫𝐭, 𝐛𝐨𝐧𝐞𝐬, 𝐚𝐧𝐝 𝐞𝐲𝐞𝐬
The session on cardiac diseases by Dr Wouter Kok, lupus and bone health by Dr Judith Bubbear, and lupus and the eyes by Dr Joeri de Hoog provided invaluable insights into managing organ-specific complications in lupus patients. Early detection and multidisciplinary care remain critical
... See MoreSee Less

🌟 𝐇𝐢𝐠𝐡𝐥𝐢𝐠𝐡𝐭𝐬 𝐨𝐟 𝐭𝐡𝐞 𝐬𝐞𝐜𝐨𝐧𝐝 𝐝𝐚𝐲 𝐨𝐟 𝐭𝐡𝐞 #𝐋𝐮𝐩𝐮𝐬𝐀𝐜𝐚𝐝𝐞𝐦𝐲𝟐𝟎𝟐𝟒 𝐌𝐞𝐞𝐭𝐢𝐧𝐠❗

🤩 What an incredible day with insightful sessions and important discussions about #SLE!

💫 𝐖𝐞 𝐚𝐫𝐞 𝐢𝐧𝐜𝐫𝐞𝐝𝐢𝐛𝐥𝐲 𝐩𝐫𝐨𝐮𝐝 𝐨𝐟 𝐭𝐨𝐝𝐚𝐲𝐬 𝐰𝐨𝐫𝐤𝐬𝐡𝐨𝐩 𝐥𝐞𝐝 𝐛𝐲 𝐨𝐮𝐫 𝐂𝐡𝐚𝐢𝐫, 𝐉𝐞𝐚𝐧𝐞𝐭𝐭𝐞, 𝐚𝐥𝐨𝐧𝐠𝐬𝐢𝐝𝐞 𝐏𝐫𝐨𝐟. 𝐀𝐫𝐧𝐚𝐮𝐝 𝐚𝐧𝐝 𝐃𝐚𝐥𝐢𝐥𝐚, 𝐨𝐧 𝐢𝐧𝐜𝐨𝐫𝐩𝐨𝐫𝐚𝐭𝐢𝐧𝐠 𝐭𝐡𝐞 𝐩𝐚𝐭𝐢𝐞𝐧𝐭’𝐬 𝐩𝐞𝐫𝐬𝐩𝐞𝐜𝐭𝐢𝐯𝐞 𝐢𝐧 𝐥𝐮𝐩𝐮𝐬 𝐦𝐚𝐧𝐚𝐠𝐞𝐦𝐞𝐧𝐭❗

Stay tuned for tomorrow, where well dive deeper into the insights shared!

📝 Heres a recap of the key moments:

🫀 𝐌𝐚𝐧𝐚𝐠𝐢𝐧𝐠 𝐜𝐚𝐫𝐝𝐢𝐨𝐯𝐚𝐬𝐜𝐮𝐥𝐚𝐫 𝐚𝐧𝐝 𝐥𝐮𝐧𝐠 𝐝𝐢𝐬𝐞𝐚𝐬𝐞 𝐢𝐧 #𝐥𝐮𝐩𝐮𝐬
Dr. Bernardo Pons-Estel and Dr. Anisur Rahman tackled the complexities of managing heart and lung complications in #SLE, emphasising early detection and intervention to reduce risk.

🩸 𝐌𝐚𝐧𝐚𝐠𝐢𝐧𝐠 𝐡𝐚𝐞𝐦𝐚𝐭𝐨𝐥𝐨𝐠𝐢𝐜𝐚𝐥 𝐩𝐫𝐨𝐛𝐥𝐞𝐦𝐬 𝐢𝐧 𝐥𝐮𝐩𝐮𝐬
Dr Ricard Cervera and Dr Raquel Faria discussed the importance of addressing haematological issues in lupus, including anaemia and thrombocytopenia.

🌍 𝐌𝐚𝐧𝐚𝐠𝐢𝐧𝐠 𝐬𝐤𝐢𝐧 𝐝𝐢𝐬𝐞𝐚𝐬𝐞 𝐢𝐧 𝐥𝐮𝐩𝐮𝐬
Dr Andrea Doria and Dr Annegret Kuhn highlighted the challenges of treating lupus skin involvement, stressing the role of dermatologists in multidisciplinary care.

🤰 𝐌𝐚𝐧𝐚𝐠𝐢𝐧𝐠 𝐩𝐫𝐞𝐠𝐧𝐚𝐧𝐜𝐲 𝐢𝐧 𝐥𝐮𝐩𝐮𝐬
Dr Sandra Navarra and Dr Irene Bultink covered the delicate balance of managing lupus during pregnancy, with an emphasis on preconception counselling and close monitoring throughout gestation.

💉 𝐌𝐚𝐧𝐚𝐠𝐢𝐧𝐠 𝐛𝐢𝐨𝐥𝐨𝐠𝐢𝐜𝐬/𝐭𝐚𝐫𝐠𝐞𝐭𝐞𝐝 𝐭𝐡𝐞𝐫𝐚𝐩𝐢𝐞𝐬 𝐢𝐧 𝐥𝐮𝐩𝐮𝐬 𝐧𝐞𝐩𝐡𝐫𝐢𝐭𝐢𝐬
Dr. Maria Dall’Era and Dr. Alexandre Voskuyl presented the latest advancements in biologics and targeted therapies, focusing on personalised treatments for lupus nephritis.

🔬 𝐍𝐨𝐯𝐞𝐥 𝐭𝐡𝐞𝐫𝐚𝐩𝐢𝐞𝐬
The afternoon covered novel therapies, including CAR-T cell therapy, where Dr Ronald van Vollenhoven and Dr Richard Furie addressed the potential and limitations of these emerging treatments for lupus. While CAR-T holds promise, its crucial to manage expectations.

🫀 𝐇𝐞𝐚𝐫𝐭, 𝐛𝐨𝐧𝐞𝐬, 𝐚𝐧𝐝 𝐞𝐲𝐞𝐬
The session on cardiac diseases by Dr Wouter Kok, lupus and bone health by Dr Judith Bubbear, and lupus and the eyes by Dr Joeri de Hoog provided invaluable insights into managing organ-specific complications in lupus patients. Early detection and multidisciplinary care remain criticalImage attachmentImage attachment+7Image attachment
3 days ago

🎉 What an amazing first day we had at the 𝐋𝐮𝐩𝐮𝐬 𝐀𝐜𝐚𝐝𝐞𝐦𝐲 𝐌𝐞𝐞𝐭𝐢𝐧𝐠 in Amsterdam!

The day was packed with insightful talks and lively discussions on #lupus research and management.

🦋 Some of the key highlights included:

✨ Lupus and hemophagocytic lymphohistiocytosis with Dr Jessica Manson.
✨ Lupus and cancer by Dr Sasha Bernatsky.
✨ Lupus and infections led by Dr Bregtje Lemkes.
✨ Lupus and vaccinations by Dr Reşit Yıldırım.

🗣️ Plus, enriching panel discussions on these crucial topics!

💸 We also explored the management of lupus in low-middle-income countries with Dr Sandra Navarra. We had a chance to engage with poster presentations and a lively debate on DOACs in #APS and SLE/APS featuring Prof Ricard Cervera and Dr Hannah Cohen.

🌙 The day concluded with a plenary session on lupus basic science, where Dr Leonid Padyukov discussed lupus genetics 🧬, Dr Claudia Mauri explored the regulation of B and T cell interactions, and Dr Thomas Dörner questioned the role of type I interferon in inflammatory rheumatic diseases like #SLE.

🎶 After such a full day, we ended on a high note with a wonderful evening entertainment featuring a brilliant performance by Prof David Isenberg and the Davidettes and an incredible piano interpretation of Beethoven by Prof Ronald von Vollenhoven.

🥰 Additionally, Professor Anisur Rahman recited a poem where he mentioned many of his colleagues in a flattering way, adding a touch of humour and camaraderie to the night 🙌 .

🤩 Don’t miss our Chair, Jeanette Andersen, and Dalila’s interventions today!

𝐖𝐞 𝐚𝐫𝐞 𝐥𝐢𝐯𝐞-𝐭𝐰𝐞𝐞𝐭𝐢𝐧𝐠 the event‼️ So be sure to 𝐟𝐨𝐥𝐥𝐨𝐰 𝐮𝐬 𝐨𝐧 𝐓𝐰𝐢𝐭𝐭𝐞𝐫 for real-time updates!

📲💻 twitter.com/LupusEurope

#LupusAcademy2024
... See MoreSee Less

🎉 What an amazing first day we had at the 𝐋𝐮𝐩𝐮𝐬 𝐀𝐜𝐚𝐝𝐞𝐦𝐲 𝐌𝐞𝐞𝐭𝐢𝐧𝐠 in Amsterdam!

The day was packed with insightful talks and lively discussions on #lupus research and management.

🦋 Some of the key highlights included:

✨ Lupus and hemophagocytic lymphohistiocytosis with Dr Jessica Manson.
✨ Lupus and cancer by Dr Sasha Bernatsky.
✨ Lupus and infections led by Dr Bregtje Lemkes.
✨ Lupus and vaccinations by Dr Reşit Yıldırım.

🗣️ Plus, enriching panel discussions on these crucial topics!

💸 We also explored the management of lupus in low-middle-income countries with Dr Sandra Navarra. We had a chance to engage with poster presentations and a lively debate on DOACs in #APS and SLE/APS featuring Prof Ricard Cervera and Dr Hannah Cohen.

🌙 The day concluded with a plenary session on lupus basic science, where Dr Leonid Padyukov discussed lupus genetics 🧬, Dr Claudia Mauri explored the regulation of B and T cell interactions, and Dr Thomas Dörner questioned the role of type I interferon in inflammatory rheumatic diseases like #SLE.

 🎶 After such a full day, we ended on a high note with a wonderful evening entertainment featuring a brilliant performance by Prof David Isenberg and the Davidettes and an incredible piano interpretation of Beethoven by Prof Ronald von Vollenhoven.

🥰 Additionally, Professor Anisur Rahman recited a poem where he mentioned many of his colleagues in a flattering way, adding a touch of humour and camaraderie to the night 🙌 .

🤩 Don’t miss our Chair, Jeanette Andersen, and Dalila’s interventions today!

𝐖𝐞 𝐚𝐫𝐞 𝐥𝐢𝐯𝐞-𝐭𝐰𝐞𝐞𝐭𝐢𝐧𝐠 the event‼️ So be sure to 𝐟𝐨𝐥𝐥𝐨𝐰 𝐮𝐬 𝐨𝐧 𝐓𝐰𝐢𝐭𝐭𝐞𝐫 for real-time updates!

📲💻  https://twitter.com/LupusEurope

#LupusAcademy2024Image attachmentImage attachment+7Image attachment

2 CommentsComment on Facebook

My partner was diagnosed with SLE lupus in 2023,we have to give a try on herbal supplements which effectively get rid of herbal Systemic lupus erythematosus (SLE) condition dramatically. After 13 weeks of her usage, my wife lost touch with reality. Suspecting it was the medication I took her off the corticosteroids (with the doctor’s knowledge) and started her on the lupus natural herbal formula we ordered. It is advisable to always try natural herbs at first because MULTIVITAMIN HERBAL CURE ( www. multivitamincare. org ) neutralizes her SLE lupus which surprises everyone at home.

I’ve been through a similar journey and understand your concern. Natural alternative remedies by Dr osewen solution home is a game changers. I was struggling with Psoriasis,thyroid , Fibromyalgia and chronic pains for 3 years. Have you tried reaching out to any support group or organization for help.I wholeheartedly recommend reaching out to him through his Facebook webpages : www.facebook.com/103770562521545 Your path to recovery may be closer than you think. Sending love 💕 xx

5 days ago

Last weekend, Lupus Europe Volunteers participated in an intensive abstract workshop in Leuven.

📊 The workshop combined theoretical sessions that included statistics with practical exercises! We worked to develop abstracts based on the "Living With Lupus in 2024" survey results.

🌟 Continuous education and skill development are essential to fulfil our mission 💪.

❤️ We are grateful for the commitment and enthusiasm of our volunteers, who are truly inspiring, working with us to make a meaningful impact on the lives of those living with lupus across Europe.

🗣️ Our sincere thanks also go to all the patients who participated in our "Living With Lupus in 2024" survey.

🙏 A huge thank you to the valuable input and excellent work of all workshop attendees! We have already drafted a number of abstracts that we could submit to be presented at medical conferences, helping raise awareness of patients' needs.

✅ Let's keep getting involved in research! The more patients respond, the more significant and impactful the data will be.
... See MoreSee Less

Last weekend, Lupus Europe Volunteers participated in an intensive abstract workshop in Leuven.

📊 The workshop combined theoretical sessions that included statistics with practical exercises! We worked to develop abstracts based on the Living With Lupus in 2024 survey results.

🌟 Continuous education and skill development are essential to fulfil our mission 💪.

❤️ We are grateful for the commitment and enthusiasm of our volunteers, who are truly inspiring, working with us to make a meaningful impact on the lives of those living with lupus across Europe.

🗣️ Our sincere thanks also go to all the patients who participated in our Living With Lupus in 2024 survey. 

🙏 A huge thank you to the valuable input and excellent work of all workshop attendees! We have already drafted a number of abstracts that we could submit to be presented at medical conferences, helping raise awareness of patients needs. 

✅ Lets keep getting involved in research! The more patients respond, the more significant and impactful the data will be.Image attachmentImage attachment+6Image attachment

1 CommentComment on Facebook

Congratulations to all of you in Lupus Europe for all the great work you do! 💪👏☝️👌

6 days ago

🛑 Lupus is a complex autoimmune chronic condition with symptoms and treatments that can potentially impact one’s sexual life and, consequently, quality of life.

💥 Symptoms like pain, fatigue, or joint stiffness can make physical intimacy challenging, while emotional factors such as anxiety, depression, and changes in body image can further complicate sexual well-being.

🚨In addition to lupus, overlapping conditions such as Sjögren’s syndrome and antiphospholipid syndrome could also be a barrier to a fulfilling sexual life, as the former can cause vaginal dryness and discomfort during intercourse, and the latter can increase the risk of complications that may affect overall well-being and intimacy.

💊 Furthermore, certain medications used to manage lupus and related conditions could potentially have adverse effects on sexual health (corticosteroids, for instance, can lead to weight gain, mood swings, and decreased libido).

‼️Although sexual dysfunction is highly prevalent among patients with autoimmune rheumatic diseases (AIRD), it remains under-recognised, under-discussed & under-treated in routine clinical care.

🔊 And that is why, on this #WorldSexualHealthDay, we want to raise awareness about the importance of addressing sexual health as a vital component of overall well-being
... See MoreSee Less

🛑 Lupus is a complex autoimmune chronic condition with symptoms and treatments that can potentially impact one’s sexual life and, consequently, quality of life. 

💥 Symptoms like pain, fatigue, or joint stiffness can make physical intimacy challenging, while emotional factors such as anxiety, depression, and changes in body image can further complicate sexual well-being. 

🚨In addition to lupus, overlapping conditions such as Sjögren’s syndrome and antiphospholipid syndrome could also be a barrier to a fulfilling sexual life, as the former can cause vaginal dryness and discomfort during intercourse, and the latter can increase the risk of complications that may affect overall well-being and intimacy. 

💊 Furthermore, certain medications used to manage lupus and related conditions could potentially have adverse effects on sexual health (corticosteroids, for instance, can lead to weight gain, mood swings, and decreased libido).

‼️Although sexual dysfunction is highly prevalent among patients with autoimmune rheumatic diseases (AIRD), it remains under-recognised, under-discussed & under-treated in routine clinical care. 

🔊 And that is why, on this #WorldSexualHealthDay, we want to raise awareness about the importance of addressing sexual health as a vital component of overall well-beingImage attachment
LUPUS EUROPE Uniting people with Lupus throughout Europe
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