From a historical perspective, there are few diseases for whichthe cause, natural history, and response to treatment have beenas complex or difficult to define as those of systemic lupuserythematosus (SLE). In large part, this is because SLE representsa clinical syndrome rather than a unique disease entity. Theapparent diversity of pathogenic mechanisms operating in individualpatients, which parallels the diversity observed in variousanimal models of SLE, underscores the fact that the diseasephenotype arises from a variable mixture of environmental factors,the hormonal milieu, genes that contribute to an autoimmunediathesis, and other causes of . . . [Full Text of this Article]
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From the Kidney Disease Section, National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, Md.
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