Young with Lupus

Lupus dia­gnosed in chil­dren or adoles­cents is called juven­ile sys­tem­ic lupus eryth­em­atosus (jSLE).

10 to 20% of all lupus dia­gnoses are made in child­hood or adoles­cence. jSLE most com­monly occurs between the ages of 11 and 15 and is only very rarely dia­gnosed before the age of 5. 

Chil­dren and adoles­cents with jSLE exper­i­ence sim­il­ar symp­toms and com­plaints to adults affected by lupus. 

You have what? Lupus ery-tery…? 

Actu­ally, it would be kind of nice to have a “wolf”!

And how cool would it be to have some­thing rare and extraordin­ary! But it is not cool that you are in pain and con­stantly tired. 

Do you wish to go to the club tonight with your best friends and cel­eb­rate all night? You will feel exhausted before mid­night, and your med­ic­a­tion is not com­pat­ible with alco­hol any­way. So it is bet­ter to refrain than to stand out in such an awk­ward way. 

In short: you are young, in edu­ca­tion or train­ing, have lots of friends, lots of hob­bies, and you want to party or travel or simply enjoy a great time! But then there is this unpro­nounce­able sys­tem­ic lupus eryth­em­atosus! It throws a span­ner in the works—of many plans! 

By now you know what this lupus is. Thank­fully there is a short form! You have got used to the med­ic­a­tion and doc­tor’s appoint­ments. You are bat­tling the symp­toms almost every day. They are simply a nuisance. 

Still, you would just like to be like every­one else! There is such a huge gap between you and your peers! While your friends focus on Net­flix series, the latest games or dark hip-hop—or whatever they are into right now—you are learn­ing how the immune sys­tem works, why you should avoid the sun, and what bio­lo­gics are—out of neces­sity, not out of interest at all! 

Your strength is that you live in the here and now. You can for­get the “wolf” from time to time, com­pletely block it out. Just hang out, enjoy life.
But then when you for­get the med­ic­a­tion or were in the sun without sun­screen, your doc­tors remind you: “Com­pli­ance is import­ant. That means fol­low­ing the ther­apy!” You would prefer if “com­pli­ance” were a youth word, e.g. in the sense of: we func­tion well as a group, we respect each other. 

The pos­it­ive thing is

that chil­dren and adoles­cents today deal more openly with diversity and inclu­sion, and there­fore also speak more openly about their illness.

In addi­tion, social media often con­nects them very well, and they inform and sup­port one another. 

How­ever, there are also fur­ther challenges:

For all teens with chron­ic ill­nesses, compliance—i.e. adher­ing to treatment—is a recur­ring issue.

School and train­ing, which do not always meet the needs of those affected; the large dis­crep­ancy com­pared with healthy peers; puberty; the search for one’s own iden­tity; the very import­ant self-image and extern­al image dur­ing the teen­age years.

Adoles­cents go through an intense phys­ic­al and emo­tion­al development.

Par­tic­u­lar effects on adolescents.

The effects of juven­ile SLE can affect adoles­cents in par­tic­u­lar ways, as they are in the midst of a phase of intense phys­ic­al and emo­tion­al devel­op­ment. The dis­ease can affect young people’s self-con­fid­ence, espe­cially if vis­ible symp­toms such as the but­ter­fly rash appear 

Every­day school life or uni­ver­sity stud­ies can be made more dif­fi­cult, par­tic­u­larly by fatigue. Fatigue and pain also make it harder for adoles­cents to take part in many social activities. 

Adoles­cents with lupus often have to juggle man­aging their health, edu­ca­tion and rela­tion­ships. In addi­tion, ques­tions about iden­tity and wor­ries about the future can be intens­i­fied by the dis­ease, as it can affect plans and life goals. 

Would you like to do some­thing for young people affected by lupus? So would we! 

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Andreas Panteli

You have prob­ably looked it up online: Google and Chat­G­PT have explained lupus well to you. But you have also noticed that the texts—and even the videos—were prob­ably made by boomers for boomers. 

Lupus Suisse, too, for a long time addressed almost only adults—we would like to change that. We want self-help groups for adoles­cents with lupus to be estab­lished. We want more inform­a­tion and events to be tailored to you and oth­er young people affected. 

But we need to learn from you! We need your help to expand the ser­vices for adoles­cents with lupus.

Would you like to start a self-help group or your own com­munity just for young people with lupus? Do you have top­ic sug­ges­tions, ideas or texts? Would you like to talk about your life with lupus in an interview? 

I look for­ward to speak­ing with you!