Wednesday, February 25, 2026

When ‘Weakness’ Is A Warning Sign: Why Rare Diseases Are Often Missed In India

Rare diseases, also known as orphan diseases, are medical conditions that affect a small percentage of the population. In India, rare diseases like lupus are often misdiagnosed, leading to delayed treatment and a higher risk of complications. This is a concerning issue that needs to be addressed as early detection and specialized testing can make a significant difference in the lives of those affected by these diseases.

Lupus, also known as systemic lupus erythematosus (SLE), is a chronic autoimmune disease that can affect any part of the body including the skin, joints, and organs. It is estimated that around 5 million people worldwide suffer from lupus, with a significant number of cases reported in India. Despite this, lupus is still considered a rare disease in India, and many people are unaware of its symptoms and warning signs.

One of the main reasons for misdiagnosis of lupus in India is the lack of awareness and knowledge about the disease among the general population and healthcare professionals. Lupus can present with a wide range of symptoms, which can often mimic those of other common diseases. This makes it challenging for doctors to diagnose lupus accurately, especially in the early stages. As a result, many patients are misdiagnosed with other conditions, leading to delayed treatment and a higher risk of complications.

One of the early warning signs of lupus is a butterfly-shaped rash on the face, commonly known as a malar rash. However, this symptom is often mistaken for a sunburn or an allergic reaction, leading to a missed diagnosis. Other symptoms of lupus may include joint pain, fatigue, fever, and hair loss, which can be easily attributed to other conditions. It is crucial to understand that these symptoms may not always present themselves together, and some individuals may only experience a few of them. This further adds to the complexity of diagnosing lupus, making it easier to be overlooked or misdiagnosed.

Delayed diagnosis of lupus can have severe consequences for patients, as the disease can progress rapidly and cause irreversible damage to vital organs such as the kidneys, heart, and brain. This can result in life-threatening complications and significantly impact the quality of life of those affected. Moreover, delayed diagnosis also means delayed treatment, which can lead to a longer recovery time and increased healthcare costs.

To address this issue, there is a need for early specialized testing for lupus in India. While there is no single test to diagnose lupus, a combination of blood tests, imaging, and physical examinations can help in making an accurate diagnosis. These specialized tests are not widely available in India, and most patients have to travel to metropolitan cities to undergo them. This adds to the financial burden and inconvenience for patients, especially those from rural areas.

The government of India has recognized the need for specialized testing and has taken steps towards improving access to these tests. In 2017, the Ministry of Health and Family Welfare launched the National Policy for Treatment of Rare Diseases, which aims to provide financial assistance to patients with rare diseases for specialized treatment and testing. However, there is still a long way to go in terms of implementation and creating awareness about rare diseases like lupus.

In addition to government initiatives, it is also essential for healthcare professionals to be more aware of rare diseases like lupus and their symptoms. This can lead to early detection and timely treatment, significantly improving the outcomes for patients. Moreover, educating the public about these diseases can also help in early diagnosis and reduce the stigma surrounding them.

In conclusion, rare diseases like lupus are often misdiagnosed in India due to a lack of awareness and specialized testing. This can have severe consequences for patients, making it crucial to address this issue. The government, healthcare professionals, and the general public all have a role to play in improving the diagnosis and treatment of rare diseases. With increased awareness, early specialized testing, and timely treatment, we can make a positive impact on the lives of those affected by these diseases. Let us work together towards a healthier and brighter future for all.

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