Are some people at a higher risk for developing systemic lupus erythematosus?

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    Last Updated: May 16, 2025

    Certain demographic factors — such as female sex, specific ethnic backgrounds, a family history of systemic lupus erythematosus (SLE), and age of 16 to 55 — increase the risk of developing SLE. Additionally, environmental factors like smoking, alcohol intake, exposure to pollutants, obesity, and severe stress may also contribute to this risk.

    Demographic (nonmodifiable) risk factors for SLE include female sex (possibly due to an estrogen effect); being of African, Asian, Hispanic/Latino, Native American, Native Hawaiian, or Pacific Island descent; family history of SLE; and age (disease onset is often between the ages of 16 and 55 years). Environmental risk factors for SLE include smoking and alcohol intake; exposure to air pollution or silica dust; obesity; allergic reactions to medications; viral or bacterial illnesses, particularly Epstein-Barr virus; severe mental and/or physical stress; and, potentially, certain dietary patterns and microbiome changes (although more research is needed in this area).[1]