Episode 116 It’s never lupus (except this time)

Even if you haven’t watched the TV show House MD, you’re probably familiar with the phrase “it’s never lupus”. But have you stopped to consider why it’s never lupus? Or why lupus is so often suspected in the first case? Well, dear listeners, this episode aims to get at the heart of those questions, which is easier said than done. Like many other autoimmune diseases, lupus erythematosus continues to baffle, but we know a lot more now than we used to. In this episode, we take you through that knowledge as best we can and then trace the steps of how we came to first recognize, then describe, and then treat lupus, a journey that takes us through how we learned about autoimmunity in the first place. If you’ve ever been curious about how lupus got its name (wolf bite, anyone?) or what the pregnancy compensation hypothesis could mean for this and other autoimmune diseases, then this is the episode for you.

HistoryBiology
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Mallavarapu, Ravi K., and Edwin W. Grimsley. “The history of lupus erythematosus.” Southern medical journal 100.9 (2007): 896-898.Durcan, L., O’Dwyer, T. and Petri, M., 2019. Management strategies and future directions for systemic lupus erythematosus in adults. The Lancet, 393(10188), pp.2332-2343. 
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Reeves, Westley H., et al. “Origins of antinuclear antibodies.” Systemic lupus erythematosus (2011): 213-233.Golder, V., Kandane-Rathnayake, R., Huq, M., Nim, H.T., Louthrenoo, W., Luo, S.F., Wu, Y.J.J., Lateef, A., Sockalingam, S., Navarra, S.V. and Zamora, L., 2019. Lupus low disease activity state as a treatment endpoint for systemic lupus erythematosus: a prospective validation study. The Lancet Rheumatology, 1(2), pp.e95-e102.   
Sanders, Michael D., and Elizabeth M. Graham. “‘Black and white and every wrong colour’: The medical history of Jane Austen and the possibility of systemic lupus erythematosus.” Lupus 30.4 (2021): 549-553.Kaegi, C., Steiner, U.C., Wuest, B., Crowley, C. and Boyman, O., 2020. Systematic review of safety and efficacy of atacicept in treating immune-mediated disorders. Frontiers in immunology, 11, p.433. 
Wang, Jianle, et al. “Unusual maintenance of X chromosome inactivation predisposes female lymphocytes for increased expression from the inactive X.” Proceedings of the National Academy of Sciences 113.14 (2016): E2029-E2038.Morand, E.F., Furie, R., Tanaka, Y., Bruce, I.N., Askanase, A.D., Richez, C., Bae, S.C., Brohawn, P.Z., Pineda, L., Berglind, A. and Tummala, R., 2020. Trial of anifrolumab in active systemic lupus erythematosus. New England Journal of Medicine, 382(3), pp.211-221. 
Xing, Enze, Allison C. Billi, and Johann E. Gudjonsson. “Sex bias and autoimmune diseases.” Journal of Investigative Dermatology 142.3 (2022): 857-866.Drenkard, C. and Lim, S.S., 2019. Update on lupus epidemiology: advancing health disparities research through the study of minority populations. Current opinion in rheumatology, 31(6), p.689.

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