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Incidence, Prevalence, Outcome, and First Symptoms; the High Prevalence in Black Women

W. Jeffrey Fessel, MB, FRCP (Ed)

Arch Intern Med. 1974;134(6):1027-1035.

Abstract
The incidence, prevalence, and outcome of systemic lupus erythematosus (SLE) were examined in a large, well-defined population for which extensive records of complete medical care are available. The prevalence was 1:1,969; in women aged 15 to 64 years, approximately 1:700; in black women 15 to 64, 1:245. Mortality was low: only five deaths among 70 patients in whom SLE was freshly diagnosed occurred during an eightyear period. The projected ten-year survival rate exceeds 90%. The prevalence of clinically important renal disease was only 11%. Previous estimates of the prevalence of renal disease in SLE have been based on skewed series. Several clinical patterns of SLE were discerned: least common was the violent, rapidly fatal one; most patients experienced a benign, chronic course or intermittently stuttering illness; some had only one or a few brief episodes of the disease.

Author Affiliations
From the Department of Medicine, Kaiser-Permanente Medical Center, San Francisco.

Footnotes
Received for publication Nov 26, 1973; accepted March 5, 1974.

Reprint requests to Permanente Medical Group, 2200 O'Farrell St, San Francisco, CA 94115 (Dr. Fessel).

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