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Lupus expert debunks 7 common myths about the autoimmune disease: ‘Not a death sentence’

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Lupus expert debunks 7 common myths about the autoimmune disease: ‘Not a death sentence’

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Fatigue, pain, swelling, rashes and hair loss are just some of the symptoms that affect people with lupus, a chronic autoimmune disease in which the immune system attacks healthy tissue.

Some 1.5 million Americans are living with lupus, with about 16,000 new cases each year, according to the Lupus Foundation of America, based in Washington, D.C.

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There are many myths surrounding lupus that can make it difficult for people to understand and manage the disease, according to Dr. Brooke Goldner, a board-certified medical doctor and an autoimmune professor at Cornell University.

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“It’s essential to educate yourself and others about lupus to dispel these myths and increase understanding of the disease,” Golder, who was diagnosed with lupus at the age of 16, told Fox News Digital.

For Lupus Awareness Month, Goldner shared some of the biggest misconceptions — and set the record straight on a number of issues.

Dr. Brooke Goldner, a board-certified medical doctor and an autoimmune professor at Cornell University, pictured at right, is committed to debunking lupus myths and misconceptions. (iStock/Dr. Brooke Goldner)

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7 myths debunked

Myth No. 1: There is only one type of lupus

The most common type of lupus is systemic lupus erythematosus (SLE), but it’s not the only form of the disease. 

“SLE can have a wide range of symptoms that may come and go, making it challenging to diagnose,” Goldner said. 

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Some of the common symptoms of SLE include fatigue, joint pain and stiffness, fever, hair loss, skin rashes and sensitivity to sunlight.

Cutaneous lupus erythematosus (CLE), a less common form, affects only the skin. 

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The two least common types are neonatal lupus and drug-induced lupus, according to the Lupus Foundation of America.

Myth No. 2: Lupus is contagious

Lupus cannot be transmitted from person to person, Goldner said. 

“It occurs when your immune system attacks your own tissues and organs, causing inflammation and damage,” she said. 

“Lupus can affect various parts of the body, including the skin, joints, kidneys, brain and other organs,” one doctor said. (BSIP/Universal Images Group via Getty Images)

“Lupus can affect various parts of the body, including the skin, joints, kidneys, brain and other organs.”

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Myth No. 3: Lupus only affects women

“While lupus does affect more women than men, it can affect anyone, including children and men,” Goldner said. 

Anyone can develop lupus. Yet 90% of cases affect women between the ages of 15 and 44, according to the Centers for Disease Control and Prevention (CDC).

Myth No. 4: Lupus is a cancer

Medicines like chemotherapy are often used in severe lupus cases, but it is not a form of cancer

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“It is an autoimmune disease, whereby the immune system begins attacking the body’s own tissues rather than just foreign invaders like viruses and bacteria,” Goldner told Fox News Digital.

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“Chemotherapy is known as an immune system suppressant, which can be lifesaving when lupus is causing organ failure and aggressive immunosuppression is required.”

Myth No. 5: Lupus is caused by stress

While stress can trigger lupus symptoms, Goldner noted it is not the cause of the disease.

“The exact cause of lupus is unknown, but it is believed to be a combination of genetic, environmental and hormonal factors,” she said.

Myth No. 6: Lupus is purely caused by genetics

Genetics will determine whether you have the possibility of developing lupus, but it is not a condition you are born with, according to Goldner. 

Fatigue is a primary symptom of systemic lupus erythematosus (SLE). (iStock)

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“Just like someone with the genetics to become type 2 diabetic will not develop the disease unless they have a diet and lifestyle that triggers it, the same is true for lupus,” she said.

Lupus is often triggered during times of physical and emotional stress combined with a nutrient-poor inflammatory diet, the expert added.

Myth No. 7: Lupus is a death sentence

While lupus can be a serious disease, it is “not a death sentence,” according to Goldner. 

“While there is no medical cure for lupus, there are treatments available that can help manage the symptoms and prevent damage to vital organs,” she said.

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“Treatment may include medications such as anti-inflammatory drugs, immunosuppressants and corticosteroids.” 

In addition to taking medications, many people with lupus can manage symptoms through healthy lifestyle interventions, according to Goldner.

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“Lifestyle changes such as regular exercise, healthy eating and stress management can help improve the quality of life for people with lupus,” the expert said.

“Lifestyle changes such as regular exercise, healthy eating and stress management can help improve the quality of life for people with lupus,” the expert said. (iStock)

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As a survivor of lupus and a physician, Goldner said she has dedicated her life to bringing more awareness to the disease and helping people gain the power to manage and eliminate symptoms through nutrition and lifestyle.

“This is not to suggest that people should not use medical treatments that can be lifesaving,” she said, “but rather that they embrace taking control of all the variables they can manage, like how they eat, sleep and manage stress with self-care, so they can minimize illness and maximize recovery and remission.”

For more Health articles, visit www.foxnews.com/health.

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Scientists pinpoint why COVID vaccine may trigger heart inflammation in certain people

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Scientists pinpoint why COVID vaccine may trigger heart inflammation in certain people

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POST-DOSE PATTERN — New research reveals why the COVID vaccine can trigger heart issues, especially in one group

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A new study has identified why mRNA COVID-19 vaccines could trigger heart issues, especially in one demographic. (iStock)

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SCREENING DEBATE A new study questions whether annual mammograms are necessary for most women

SUPER SPREAD — An “aggressive” new flu variant sweeps the globe as doctors warn of severe symptoms

The flu season has intensified as the new H3N2 variant causes severe illness worldwide. (iStock)

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DANGEROUS DEFICIT — A nutrient deficiency has been linked to heart disease risk for millions

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Aging-related joint disorder increasingly affects people under 40, study finds

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Aging-related joint disorder increasingly affects people under 40, study finds

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Cases of gout are rising in younger individuals, according to a global study.

The condition, which is a type of inflammatory arthritis, steadily increased in people aged 15 to 39 between 1990 and 2021, researchers in China announced.

Although rates vary widely between countries, the total number of young people with the condition is expected to continue rising through 2035.

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The study, published in the journal Joint Bone Spine, investigated 2021 data from the Global Burden of Disease (GBD), spanning 204 countries within the 30-year timeframe.

The data measured gout prevalence, incidence and years lived with disability, tracking global trends over time. The results showed a global increase across all three outcomes.

Gout is expected to continue rising in young people through 2035. (iStock)

Prevalence and disability years increased by 66%, and incidence rose by 62%. In 2021, 15- to 39-year-olds accounted for nearly 14% of new gout cases globally, the study found.

Men from 35 to 39 years old and people in high-income regions had the highest burden, but high-income North America topped the list for highest rates.

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Men were also found to have lived more years with gout due to high BMI, while women tended to have the condition as a link to kidney dysfunction, the study noted.

The total number of cases is expected to increase globally due to population growth, but the study projected that rates per population would decrease.

The researchers noted that data quality, especially in low-income settings, could have posed a limitation to the broad GBD data.

What is gout?

Gout is a common form of arthritis involving sudden and severe attacks of pain, swelling, redness and tenderness in the joints, according to Mayo Clinic. It most often occurs in the big toe.

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The condition occurs when urate crystals accumulate in the joint. These form when there are high levels of uric acid in the blood, which the body produces when it breaks down a natural substance called purines.

A gout flare-up can happen at any time, often at night, causing the affected joint to feel hot, swollen, tender and sensitive to the touch.

Urate crystals, described as sharp and needle-like, build up in the joint, causing intense pain and swelling. (iStock)

Purines can also be found in certain foods, like red meat or organ meats like liver and some seafood, including anchovies, sardines, mussels, scallops, trout and tuna, according to the Mayo Clinic. Alcoholic drinks, especially beer, and drinks sweetened with fruit sugar can also lead to higher uric acid levels.

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Uric acid will typically dissolve in the blood and pass through the kidneys into urine, but when the body produces too much or too little uric acid, it can cause a build-up of urate crystals. These are described by the Mayo Clinic as sharp and needle-like, causing pain, inflammation and swelling in the joint or surrounding tissue.

Risk factors for gout include a diet rich in high-purine foods and being overweight, which causes the body to produce more uric acid and the kidneys to have trouble eliminating it.

Experts urge patients to seek medical attention for gout flare-ups. (iStock)

Certain conditions like untreated high blood pressure, diabetes, obesity, metabolic syndrome and heart and kidney diseases can increase the risk of gout, as well as certain medications.

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A family history of gout can also increase risk. Men are more likely to develop the condition, as women tend to have lower uric acid levels, although symptoms generally develop after menopause.

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Untreated gout can cause worsening pain and joint damage, experts caution. It may also lead to more severe conditions, such as recurrent gout, advanced gout and kidney stones.

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The Mayo Clinic advises patients to seek immediate medical care if a fever occurs or if a joint becomes hot and inflamed, which is a sign of infection. Certain anti-inflammatory medications can help treat gout flares and complications.

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Fox News Digital reached out to the researchers for comment.

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New study questions whether annual mammograms are necessary for most women

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New study questions whether annual mammograms are necessary for most women

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A new study suggests that annual mammograms may not be the only effective approach for preventing breast cancer.

The research, published in the Journal of the American Medical Association (JAMA), tested a risk-based breast cancer screening approach against standard annual mammography.

The WISDOM randomized clinical trial, led by study authors from universities and healthcare systems across the U.S., considered more than 28,000 women aged 40 to 74 years old, splitting them into a risk-based screening group and an annual mammography group.

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Researchers calculated each woman’s individual risk based on genetics (sequencing of nine breast cancer genes) and other health factors. 

A new study suggests that annual mammograms may not be the only effective approach for preventing breast cancer. (iStock)

Those who were at the highest risk were advised to alternate between a mammogram and an MRI scan every six months. Patients with elevated risk were told to get an annual mammography and counseling.

Average-risk women were guided to get mammograms every two years, while low-risk individuals were advised to have no screening until they became higher risk or reached age 50.

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The researchers found that risk-based screening did not lead to more advanced cancer diagnoses (stage 2B or higher) compared with annual screening, indicating that it is just as safe as traditional methods. The risk-based approach, however, did not reduce the number of biopsies overall, as researchers had hoped.

Among the risk-based group of women, those with higher risk had more screening, biopsies and detected cancers. Women at lower risk had fewer procedures.

The research, published in the Journal of the American Medical Association (JAMA), tested a risk-based breast cancer screening approach against standard annual mammography. (iStock)

“[The] findings suggest that risk-based breast cancer screening is a safe alternative to annual screening for women aged 40 to 74 years,” the researchers noted in the research summary. “Screening intensity matched individual risk, potentially reducing unnecessary imaging.”

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Fox News medical contributor Dr. Nicole Saphier, associate professor of radiology at Memorial Sloan Kettering Cancer Center in New Jersey, commented that while these findings are important, the study “completely sidelines” what screenings are designed to do — detect cancer early.

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“If you don’t measure stage 0, stage 1 or stage 2A cancers, you can’t tell whether personalized screening delays diagnosis in a way that matters for survival and treatment intensity,” Saphier, who was not involved in the study, told Fox News Digital in an interview.

Those who were at the highest risk were advised to alternate between a mammogram and an MRI scan every six months. (iStock)

More than 60% of breast cancers in the U.S. are diagnosed at stage 1 or 2A, where cure rates exceed 90%, the doctor noted.

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The trial doesn’t “fully evaluate” whether risk-based screening changes detection at the earliest and most treatable stages, where screening “delivers its greatest benefit,” according to Saphier.

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“Mammography is not without risk — radiation exposure, false positives, anxiety and potential over-diagnosis are real and should be acknowledged,” she said. “But it remains the most effective, evidence-based tool for detecting breast cancer early, when treatment is most successful.”

The expert added that labeling women under 50 as “low risk” is “outdated,” as breast cancer diagnoses are on the rise in younger females.

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“Until long-term mortality data support alternative approaches, annual screening beginning at 40 for average risk women should continue,” Saphier added. “Women should be assessed for breast cancer risk by 25 years old to determine if screening should begin earlier.”

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