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Systemic Lupus Erythematosus (Lupus)
in Children and Adolescents

The Immune System
Lupus is a disease of the immune system. It is not easy to understand what happens in lupus without knowing a bit about the normal functions of the immune system.

We all have a really smart immune system made up of millions of different cells (called white blood cells) or populations of cells that work together like an army. This army protects us from foreign invaders (bugs or germs) that cause infections. 

Each cell population of our immune system has a specific job designed to fight off the invaders, known as foreign antigens. Some cells, called monocytes, recognize these antigens as foreign and send signals to other cells, called T cells or T lymphocytes, to help fight the invaders. These helping cells are called Helper T cells. T cells send signals to the B cells (also known as B lymphocytes). B cells make weapons against the invaders, called antibodies, that overpower the invaders by attaching themselves to them. 

What results are antigen/antibody complexes that are eaten up by cells that literally have the job of cleaning up the mess. When enough antibodies are made to overpower all of the antigens, signals are sent to another group of T cells, called Suppressor T cells, that tell the B cells to stop making antibodies. In the healthy immune system, things return to normal until the next time the person gets sick.

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