title: Familial SLE: sustained drug-free remission in a mother successfully treated for anal cancer, but development of SLE in a 16-year old daughter.
abstract: The immunopathogenesis of systemic lupus erythematosus has been thoroughly investigated recently, and genome-wide association studies have identified genes statistically associated with lupus. However, the progression to overt disease is dependent on the activation of environmental factors ('triggers'), among which oestrogen stimulation is prominent. Here we report the case of a mother with long-standing SLE entering into long term drug-free remission following intensive, menopause-inducing chemoradiotherapy for cancer, and the opposite case of her daughter, who developed SLE following the initiation of her menstrual cycle.
authors.affiliation: Ospedale San Martino - Ematologia, Genova, Italy.
authors.forename: G
authors.initials: G
authors.lastname: Catania
authors.forename: E
authors.initials: E
authors.lastname: Rossi
authors.forename: A
authors.initials: A
authors.lastname: Marmont
mesh_terms: D000293:Adolescent; D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D001005:Anus Neoplasms / Q000628:therapy*; D059248:Chemoradiotherapy; D004967:Estrogens / Q000502:physiology; D005260:Female; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000188:drug therapy / Q000235:genetics* / Q000503:physiopathology*; D008593:Menopause / Q000502:physiology; D008598:Menstruation / Q000502:physiology; D008875:Middle Aged; D010375:Pedigree; D012075:Remission, Spontaneous; D016896:Treatment Outcome
chemical_list: D000305:Adrenal Cortex Hormones; D004967:Estrogens