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The HPV vaccine
The Centers for Disease Control and Prevention recommends that all girls ages 11 or 12 get the human papillomavirus (HPV) vaccine to protect against cervical cancer and precancer. Girls with lupus are no exception, says Megan E.B. Clowse, MD, director of the Autoimmunity and Pregnancy Registry at Duke University in Durham, NC.
“A lot of women will be exposed to HPV but can get rid of it on their own. Females with lupus, and others who are immunosuppressed, have a harder time getting rid of HPV, so that puts them at a higher chance of having abnormal Pap smears, and eventually, developing cervical cancer.”
The vaccine is considered safe in immunosuppressed people, Brunner says. “Whenever possible, the HPV vaccine should be given at a time when steroids are being taken in low doses, to ensure that the body’s immune response to the vaccine is adequate.”
Bone health
Most 17-year-olds aren’t overly concerned with their bone health, but Aiden knows she has to be. “I’ve had lots of problems with my bones already; something’s always breaking,” she says.
Humans acquire most of their bone mass before the age of 20, but due to the inflammation associated with lupus, and corticosteroid use, children with lupus often don’t develop the bone density they should. Brunner advises starting children on calcium and vitamin D once they begin steroid therapy and encouraging regular physical activity. “Exercise is good for people with lupus; it’s associated with better disease outcome. E
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