I think my greatest problem is with grammer errors and my in-text citations. Also, all of those citations that repeat themselves look funny to me. They can't be right? Can they? I'm also confused with secondary citations. I think they're a no no but I can't get a clear answer on what they are. Here's the paper. Please kindly review if you'd like. I'd love yah for it.
Kisses
Mandi
(Title page not included)
Introduction
Lupus is an autoimmune disease that permits the affected body to build antibodies to attack its own cells as if they were foreign. There are three main types of lupus. They are discoid, drug induced, and Systemic lupus erythematosus (Encyclopedia Britannica, 2009). Doctors must be careful in diagnosing lupus since it can easily be confused with other diseases (Rahman & Isenberg, 2008). Lupus is capable of attacking any part of the body but for the most part it mainly affects the skin, kidneys, joints, heart, gastrointestinal tract, and serous membranes (Encyclopedia Britannica, 2009). The cause of Lupus is currently unknown. Lupus truly is a sickness of mystery since the cause and cure have currently been unidentified. However, there are known genetic (Encyclopedia Britannica, 2009) and environmental (Rahman & Isenberg, 2008) aspects that have been known to trigger this illness. On an inspiring note, there is presently a study being conducted with mice in search for the cure of lupus.
Discussion
Lupus is an autoimmune disease that is known to be a chronic (continuous or reoccurring) inflammatory illness that has the ability to attack any region of the body (Encyclopedia Britannica, 2009). The symptoms of the disease are painful or swollen joints and muscle pain, unexplained fever, red rashes, chest pain when breathing deeply, loss of hair, pale or purple fingers or toes from cold or stress (also known as Raynaud's phenomenon), sensitivity to the sun swelling in legs or around eyes, mouth ulcers, swollen glands and extreme fatigue (WebMD, 2008). Those that suffer from lupus may never have the same symptoms as another person with the disease (Encyclopedia Britannica, 2009). However, the most common areas of the body affected are the skin, kidneys, joints, heart, gastrointestinal tract, and serous membranes (Encyclopedia Britannica, 2009).. Also in most cases in order for a doctor to diagnose lupus the patient must illustrate at least four (Encyclopedia Britannica, 2009) of the listed symptoms.
The actual cause of the disease is unknown. However, there are genetic and environmental characteristics that could trigger lupus to develop. Many patients that suffer from lupus have a genetic association with the disease (Encyclopedia Britannica, 2009). Lupus could be the result of mutated genes of interferon and the genes that play vital roles in regulating the immune response (Encyclopedia Britannica, 2009). If a patient has a genetic link to lupus there are also environmental aspects that could trigger lupus. They are infection, ultraviolet light, certain drugs like; procainamide, hydralazine, and quinidine (Rahman & Isenberg, 2008), and extreme stress (Encyclopedia Britannica, 2009). Factors that potentially contribute to the progression of lupus are interleukins and interferons (immune molecules). Interleukins and interferons have been shown to control the autoantibody release in response to certain bodily stimuli (Encyclopedia Britannica, 2009).
Lupus commonly affects women, African Americans, and Asians more than any other group (Rahman & Isenberg, 2008). Since 90% of all patients with lupus are female, women between the ages of 15-50 should be tested for lupus if they portray at least one of the symptoms (Rahman & Isenberg, 2008). Also, there is an increased risk of lupus in people who already have the Epstein-Barr virus. (Rahman & Isenberg, 2008)
The healthy immune system’s mission is to protect the body from infections and foreign objects within the body. When the immune system is working properly it will recognize the foreign bacteria, virus, or objects as non-self. Upon recognition that something does not belong, it will build antibodies against the unwanted agent, attack and destroy it (Marieb, 2009, p. 408 & 410). However, the activities of the immune system are much different when the body is affected with lupus. Instead of the body producing antibodies against foreign bacterial that do not belong, the immune system will produce an autoantibody that attacks the body’s own cells and tissues. The reason for this is because they can not recognize their own cells or tissue as self. When an autoantibody attack occurs, the autoantibodies will attach themselves to various tissues and cells (Rahman & Isenberg, 2008). When this happens the body’s inflammatory response occurs. The same thing happens when we have been hurt and the tissue has truly been damaged.
There are a few different ways Lupus can affect the body, for example in nearly all individuals that suffer from lup

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