We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Systemic Lupus Erythematosus in the Community 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. doi:10.1001/archinte.1974.00320240061006.
Text Size: A A A
Published online


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.


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.