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Ari Kawahito

Raising the Torch for Women with Lupus: A Call for Awareness, Support, and Empowerment


Imagine, for a moment, that you wake up one day and find your own body turned against itself. No enemy from the outside, but an insidious foe within, indiscriminately wreaking havoc on your organs and tissues. Now, imagine that this isn't just a passing nightmare, but your reality - day in, day out. This is Lupus, an autoimmune disease that impacts millions of women worldwide.

As a young woman, I stand amidst an era marked by breakthroughs in healthcare and empowerment. Yet, there's a silent battle raging on, a battle that calls for our attention, empathy, and action. Despite not having Lupus myself, I feel a profound connection to this cause, as it is a condition that disproportionately affects women, especially those in their prime - women like us.



Health is the bedrock upon which we build our dreams, aspirations, and life itself. When that foundation is shaken, as it is by Lupus, every aspect of life trembles along with it. But the goal here isn't to paint a picture of despair; it's to stir in us a sense of urgency and compassion, to motivate us to learn more and do more. We need to understand Lupus and the unique burden it places on women. We need to recognize the strength of the women who live with this condition daily and support them in every way we can. Most importantly, we need to play our part in raising awareness, pushing for research, and advocating for better care.

Understanding Lupus: The Invisible Enemy


Lupus, also known as systemic lupus erythematosus (SLE), is an autoimmune disease where the body's immune system mistakenly attacks its own tissues and organs. Unlike many other diseases, Lupus does not present a single, definitive set of symptoms. Instead, it can manifest in a myriad of ways, making it an "invisible enemy" that's challenging to diagnose and understand. It can affect many parts of the body, including the skin, joints, kidneys, heart, lungs, blood cells, and brain. Its symptoms can range from mild to life-threatening, often depending on which part of the body is under attack. Common signs of Lupus include fatigue, joint pain, skin rashes (especially a butterfly-shaped rash on the face), and fever. However, because these symptoms are shared with many other health conditions, Lupus is often overlooked or misdiagnosed.

The disease is also characterized by periods of illness known as 'flares' and periods of relative wellness, or 'remissions.' These fluctuations in disease activity can add another layer of complexity, making Lupus an emotional roller-coaster for those living with it.

Why Women? Unraveling the Connection


In the world of autoimmune diseases, one fact stands out starkly: these conditions disproportionately affect women. Lupus is no exception. Women make up around 90% of adults diagnosed with this disease. But why does Lupus prefer women, especially those of childbearing age? Let's delve into the complexities of this gender-specific connection.

The Role of Hormones


Hormones, particularly estrogen, play a significant role in the gender discrepancy seen in Lupus. Estrogen is known to stimulate the immune response, and given that Lupus is a disease where the immune system is hyperactive, it's not surprising that elevated estrogen levels can exacerbate this condition.

Most women of childbearing age naturally have higher estrogen levels than both men and postmenopausal women, which could partially explain the prevalence of Lupus in this group. Pregnancy, a period of high estrogen levels, can also sometimes trigger the onset of Lupus or cause a flare in those already diagnosed (1).


The X Chromosome and Genetic Factors


Women have two X chromosomes, while men have one X and one Y chromosome. Certain genes associated with the immune response are located on the X chromosome. This has led researchers to investigate the potential role of X chromosome "dose" in autoimmune diseases like Lupus.

While most genes on one X chromosome in females are inactivated through a process known as X-inactivation, some genes "escape" this process and are expressed from both X chromosomes. This could potentially increase the expression of certain immune-related genes in women, predisposing them to autoimmune conditions (2).

The Influence of Environmental Factors


Environmental triggers also seem to play a role in Lupus development. Because many of these triggers are more common in women, they may contribute to the higher prevalence of Lupus in this group. For example, exposure to certain cosmetics and cleaning products, which often contain endocrine-disrupting chemicals, may be a risk factor. Some research also suggests a potential link between Lupus and certain viral infections, which can sometimes be more severe in women (3).

Unraveling the Mystery


Despite the many clues, the reasons why Lupus preferentially affects women remain complex and multifaceted. Continued research into the genetic, hormonal, and environmental factors at play is crucial to better understanding this disparity and finding new avenues for treatment and prevention. The mystery is yet to be fully unraveled, but every step of scientific exploration brings us closer to understanding this complicated connection.

Rallying for the Lupus Warriors in the Philippines: The Power of Community Support


Living with Lupus can be a daunting challenge, but the journey becomes more manageable when shared with others who understand the struggles and triumphs. In the Philippines, there's a robust network of support in place for the brave Lupus warriors, spearheaded by various foundations and communities committed to making a difference in their lives.

One such organization leading the way is the 'Live Love and Hope Foundation,' established by Gladys Santiago. This foundation has been instrumental in not only providing necessary resources for people living with Lupus but also fostering a sense of community and shared understanding. Live Love and Hope Foundation has created an environment where those affected by Lupus can find solidarity, learn from each other's experiences, and draw strength to keep fighting.

Gladys Santiago, a dynamic advocate for Lupus awareness, herself witnessed the impacts of Lupus and felt compelled to build an infrastructure of support. Her foundation focuses on providing education about Lupus, connecting patients to relevant medical resources, and building an empathetic community for emotional support.

Additionally, Live Love and Hope Foundation is actively involved in advocacy work, pushing for greater recognition of Lupus as a public health issue and better accessibility to affordable healthcare options for Lupus patients. Their initiatives are driven by the belief that every Lupus warrior deserves comprehensive care and support to navigate their unique journey.

Other supportive communities, like the Lupus Inspired Advocacy (LUISA) and the Philippine Rheumatology Association (PRA), are also integral parts of this support network. LUISA, managed by Lupus warriors and their families, helps spread Lupus awareness, while the PRA, consisting of healthcare professionals, offers a wealth of information on managing Lupus and ensuring patients receive the right care.

These foundations and communities embody the spirit of 'bayanihan,' a Filipino tradition that stresses the power of communal unity and cooperation. By standing together, these organizations are empowering Lupus warriors, facilitating their access to resources, and giving them a platform to share their stories.

By rallying together for the Lupus warriors in the Philippines, these foundations remind us all of the power of community in combating diseases like Lupus. Their work underscores the importance of perseverance, empathy, and shared hope in the fight against Lupus. In their efforts, we find a potent reminder that no one fights alone, and every battle is easier when fought together.

The Power to Make a Difference


Being a woman without Lupus doesn't distance us from this issue; it makes our role even more crucial. We can be the voice for those who are often overlooked, the strength for those who are battling tirelessly, and the champions for change in a world that urgently needs it. And so, I urge you, as fellow women, fellow humans, to take up this cause.

The fight against Lupus is more than just a medical battle - it's a fight for the rights, well-being, and futures of millions of women worldwide. By raising awareness, we help ensure that no woman feels alone in her journey. By supporting research, we help pave the way for better diagnostics and treatments.

Remember, every conversation we start, every article we share, every fundraiser we participate in - it all contributes to the collective force against Lupus. Today, I invite you to be part of that force. Let's take action together. Because together, we are stronger than Lupus. It's our duty and privilege to stand by our sisters with Lupus, to offer our support, and to actively participate in making a difference. The question is, will you join in this battle? Because together, we can illuminate the path toward a brighter future for women affected by Lupus.




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