Doctor after doctor misdiagnosed or shrugged off Ruth Wilson’s rashes, swelling, fevers, and severe pain for six years. She saved her life by begging for one more test in an emergency room about to send her home, again, without answers.

That last-ditch test found the Massachusetts woman’s kidneys were failing. The culprit? Her immune system had been attacking her own body all that time, and nobody caught it.

“I just wish there was a better way that patients could get that diagnosis without having to go through all of the pain and all of the dismissiveness and the gaslighting,” she said.

Wilson has lupus, nicknamed the disease of 1,000 faces for its variety of symptoms — and her journey offers a snapshot of the dark side of the immune system. Lupus is one of a rogues’ gallery of autoimmune diseases that affect as many as 50 million Americans and millions more worldwide – hard to treat, on the rise, and a constant puzzle for medical professionals.

Now, building on discoveries from cancer research and the COVID-19 pandemic, scientists are decoding the biology behind these debilitating illnesses. They’re uncovering pathways that lead to different autoimmune diseases and seeking connections between seemingly unrelated conditions, in hopes of attacking the causes, not just the symptoms.

For Wilson, the road to diagnosis was long and convoluted, revealing much about the challenges faced by numerous lupus patients. After countless visits to doctors, she still lives with daily pain — her life drastically altered by this chronic disease.

How lupus manifests and fluctuates for each patient underscores the complexity of finding the right treatment. Wilson currently manages diminishing symptoms through a cocktail of medications tailored to stabilize her immune response.

Ruth Wilson observing one of the many symptoms of lupus.

The stakes are high as researchers aim to understand this disease better. Wilson emphasizes the significance of patient perspectives, urging the medical community to consider the full impact of therapies on everyday living.

As new studies examine biological samples to better classify lupus subtypes, Wilson continues advocating for meaningful change, embodying resilience and hope in her battle against a perplexing autoimmune disorder.