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What is the sister disease to lupus?

Published in Autoimmune Diseases 3 mins read

The sister disease frequently associated with lupus is Sjögren disease.

Understanding the Connection Between Lupus and Sjögren Disease

Lupus, specifically Systemic Lupus Erythematosus (SLE), and Sjögren disease are both chronic autoimmune conditions. This means that in both diseases, the body's immune system mistakenly attacks its own healthy tissues and organs. They are often referred to as "sister diseases" due to their significant overlap and the fact that a notable percentage of individuals with lupus also develop Sjögren disease.

Why Sjögren Disease is Considered a Sister Disease to Lupus

The strong relationship between lupus and Sjögren disease is evident in several key aspects:

  • High Co-occurrence: A significant connection exists, as more than 1 in 6 people diagnosed with lupus will also develop Sjögren disease. This high rate of co-occurrence points to shared underlying genetic predispositions or immunological pathways.
  • Shared Autoimmune Nature: Both conditions originate from a dysregulated immune system, leading to chronic inflammation and potential damage throughout the body.
  • Impact on the Body: While lupus can affect virtually any organ or system, Sjögren disease primarily targets the moisture-producing glands (such as tear and salivary glands), causing characteristic dryness of the eyes and mouth. However, Sjögren disease can also manifest systemically, affecting other organs and tissues, much like lupus.
  • Treatment Overlap: Given their similar autoimmune origins and often overlapping symptoms and mechanisms, some medications are effective in treating both conditions, addressing the underlying immune system dysfunction.

Key Characteristics and Commonalities

Here's a comparison highlighting the shared features that solidify their "sister" relationship:

Feature Lupus (Systemic Lupus Erythematosus) Sjögren Disease
Type of Condition Autoimmune disease Autoimmune disease
Primary Attack Target Any organ or tissue Moisture-producing glands (eyes, mouth); also internal organs
Common Symptoms Fatigue, joint pain, rashes, fever, organ involvement Dry eyes, dry mouth, fatigue, joint pain, systemic symptoms
Co-occurrence with Lupus N/A Over 1 in 6 lupus patients also develop Sjögren disease
Shared Treatments Yes, some medications can treat both conditions Yes, some medications can treat both conditions
Autoantibodies Often involves ANA, anti-dsDNA, anti-Sm Often involves ANA, anti-Ro/SSA, anti-La/SSB

The Broader Context of Autoimmune Diseases

Understanding the link between lupus and Sjögren disease underscores the complex and often interconnected nature of autoimmune conditions. It is not uncommon for individuals with one autoimmune disease to have a higher risk of developing another, illustrating a shared vulnerability within the immune system.

For more in-depth information about the relationship between these two conditions, you can refer to resources like What to Know About Lupus and Sjögren Disease on Healthline.