In a longitudinal study of 54,763 women followed up over 24 years, investigators found that the incidence of systemic lupus erythematosus (SLE) was higher in women with probable post-traumatic stress disorder (PTSD) (that is, reporting four to seven symptoms of PTSD) than in women not exposed to trauma (HR 2.87, 95% CI 1.31–6.28). They also found a strong association between trauma exposure, regardless of PTSD symptoms, and incident SLE (HR 2.87, 95% CI 1.31–6.28).