encounter patients with systemic lupus erythematosus (SLE). It is important to understand this chronic condition, its triggers, and current management strategies. Lupus erythematosus was a term first used to describe the skin abnormalities common to this disorder. We now know that SLE is an aberrant response by the human immune system; it is a multisystemic, autoimmune disease with many clinical and serological manifestations.1 The disease can affect every organ, particularly the kidneys, blood, and brain. The typical patient with lupus is a woman of childbearing age. The prevalence is greater in African American, Asian, and Hispanic populations. The 10-year survival rate is approximately 70%.2 The exact cause of SLE is unknown. Many triggers may be responsible for SLE. The genetic pattern has not yet been completely deciphered and is complex. It is likely that exposure to different environmental factors may determine if SLE will develop. Genetics and environmental factors may determine disease activity and severity. Certain environmental factors are known to affect individual who are genetically prone. These include ultraviolet light and sunlight, infections, and medications. Other factors that may trigger SLE development include hormones, smoking, and vaccines.1 SLE can be challenging to diagnose because of its diverse manifestations. Eleven diagnostic criteria have been established by the America College of Rheumatology. In order to make a formal diagnosis, 4 of the criteria summarized in Table 1 must be met.2 Common symptoms include rash, swollen and painful joints, fatigue, hair loss, photosensitivity, unexplained fever, and Raynaud’s phenomenon, a condition in which blood vessels in the fingers and toes spasm in cold temperatures. SLE symptoms may mimic numerous other medical problems. Symptoms may be intermittent and occur over months or years. Laboratory studies are an important part of the evaluation. Antinuclear antibody (ANA) and antiDNA tests are 2 useful antibody tests. The ANA test alone may not be helpful because many JNP