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Solange reveals diagnoses of POTS, MCAS, and Sjogren's

Updated:
October 2024
by
David Harris

Solange Knowles Opens Up About Her Chronic Illnesses

Solange Knowles recently shared her journey of navigating life with multiple chronic health conditions. Diagnosed in 2018 with Postural Orthostatic Tachycardia Syndrome (POTS), Sjogren’s syndrome, and Mast Cell Activation Syndrome (MCAS), Knowles disclosed her struggle in a candid Instagram comment. This revelation not only highlights the challenges of living with chronic illness but also raises awareness for conditions that often go overlooked. In sharing her story, Knowles has created a moment of connection and visibility for many within the chronic illness community, especially for women of color who face additional challenges in their healthcare experiences.

What is Solange Diagnosed With?

Solange Knowles has been diagnosed with three interrelated conditions: Mast Cell Activation Syndrome (MCAS), Postural Orthostatic Tachycardia Syndrome (POTS), and Sjögren’s Syndrome. Each of these conditions affects different parts of the body but often shares common symptoms, like fatigue and inflammation, and can be especially difficult to diagnose. Together, they create a complex health picture, impacting Solange's energy, immune response, and overall daily functioning.

MCAS

Mast Cell Activation Syndrome (MCAS) occurs when certain immune cells called mast cells become overactive. Mast cells, usually responsible for responding to allergens or infections, can release a flood of chemicals in MCAS, triggering symptoms like skin rashes, itching, flushing, gastrointestinal issues, and respiratory difficulties. Managing MCAS typically requires a tailored approach that includes medications to stabilize mast cells, lifestyle changes, and sometimes, dietary adjustments to help reduce triggers.

POTS

Postural Orthostatic Tachycardia Syndrome (POTS) is a condition that affects blood flow and heart rate. In people with POTS, standing up can cause sudden drops in blood pressure, leading to dizziness, fainting, and chronic fatigue. It results from a dysfunction of the autonomic nervous system, which normally regulates functions like heart rate and blood pressure. Treatments can include hydration strategies, medication, and lifestyle adjustments to manage symptoms and improve quality of life.

Sjögren’s

Sjögren’s Syndrome is an autoimmune condition in which the body’s immune system mistakenly attacks moisture-producing glands, leading to symptoms like dry eyes and mouth. Beyond dryness, Sjögren’s can cause inflammation in other organs, potentially affecting joints, nerves, lungs, and kidneys. Its chronic nature often requires a multidisciplinary approach to manage both symptom relief and inflammation control.

Is There a Connection Between POTS, Sjögren’s, and MCAS?

Yes, there appears to be a connection among POTS, Sjögren’s Syndrome, and MCAS. Each of these conditions involves an imbalance in the immune system and dysregulation of body functions. Research suggests that they can co-occur due to shared underlying factors, such as immune dysregulation, connective tissue involvement, and autonomic nervous system dysfunction. Standard tests often fail to identify cases of Sjögren’s. The link between POTS and Sjögren’s Syndrome is well known but it remaines poorly unederstood. This overlap is common in certain connective tissue disorders, which may explain why these diagnoses often appear together and impact multiple body systems. Mutliple celebrities have both POTS and MCAS. Halsey, Billie Eilish, Sia, Jameels Jamil all have POTS and MCAS as well as Ehers-Danlos Syndrome

Which celebrities have POTS, MCAS, or Sjögren’s?

In her comment on social media, Knowles expressed solidarity with musician Shaun Ross, who also struggles with POTS, sharing her empathy for "the debilitating, confusing, and lonely symptoms" that come with these conditions. Her words resonate deeply with many who, like her, are navigating life with chronic illness. There are a lot of people navigating life with chronic illness, including celebrities. In fact, Solange and Halsey share all three diagnoses of Sjögren's Syndrome, MCAS, and POTS. However, Solange and Halsey aren't the only celebrities with Sjögren's. Both Venus Williams and Carrie Ann Inaba are also diagnosed with Sjögren's. Although very few celebrities have Sjögren's Syndrome, MCAS, and POTS together, there are many celebrities who have revealed their POTS diagnosis in the past few years, including Billie Eilish, Halsey, Sia, Katie Ledecky, Jameela Jamil, Bella Hadid, and Gigi Robinson. The list of famous people with POTS or other forms of dysautonomia has grown rapidly since the onset of COVID. This isn't even an exhaustive list. There are many other celebrities diagnosed with POTS, and you can read about them at this link

There are also a surprising number of famous people with MCAS.  Solange, Kate Beckinsale, Bethenny Frankel, Halsey, Jameela Jamil, Billie Eilish, and many other celebrities have Mast Cell Activation Syndrome (MCAS). It's also worth pointing out that many of the celebrities diagnosed with MCAS also have POTS. Solange, Billie Eilish Halsey, Jameela Jamil, and Gigi Robinson all have both MCAS and POTS. While Solange is not diagnosed with Ehlers-Danlos Syndrome, the rest of the celebrities in this list who have both MCAS and POTS are also diagnosed with hypermobile Ehlers-Danlos Syndrome, a cluster known as the EDS trifecta. Billie Eilish, Halsey Jamela Jaml, ad Gigi Robinson are all diagnosed with the EDS trifecta.

A Long Road to Public Disclosure

Knowles has previously been vocal about her health, albeit in brief posts. In 2017, she canceled a New Year’s Eve performance at South Africa’s Afropunk Festival, sharing on Instagram that she had been “quietly treating” an unspecified autonomic disorder. She described the experience as a “journey that hasn’t been easy on me,” revealing how unpredictable and physically exhausting her symptoms had been. At the time, however, she stopped short of revealing the specific diagnoses she was grappling with, making her recent public disclosure a significant step in her journey toward acceptance and solidarity with the chronic illness community.

In her recent comments, Knowles also touched on a common struggle for many with chronic illnesses: the challenge of balancing their health without allowing it to become their identity. For Knowles, speaking openly was a way to connect with others experiencing similar challenges while reinforcing that a diagnosis, no matter how consuming, is only part of who she is.

The Power of Community: Finding Strength in the Spoonie Community

Throughout her journey, Knowles has expressed gratitude for the spoonie community—a term usedto describe the limited energy or “spoons” that those with chronic illnesses have to spend on daily activities. For Knowles, this community has provided much-needed support, empathy, and solidarity during times of uncertainty and isolation. Dysautonomia International, a non-profit she mentioned as a valuable resource, advocates for those with autonomic nervous system disorders, helping her find the strength to face the uncertainty and complexity of her conditions.

Knowles’s words have sparked encouragement and visibility for the broader chronic illness community, particularly as she joins a growing conversation around these often misunderstood conditions. By sharing her journey, Knowles fosters awareness and invites others to look beyond her celebrity to see the resilience and strength required to live with chronic illness.

Representation Matters: Solange’s Impact on the Chronic Illness Community

Knowles’s openness has had a profound effect, especially within communities of color, where representation in chronic illness advocacy remains limited. For Natasha Graves, a writer and photographer with POTS, Knowles’s announcement resonates deeply as a rare moment of visibility. As Graves has shared, women of color face unique barriers in receiving proper healthcare, often struggling to be heard and accurately diagnosed due to systemic bias. While POTS, for example, is predominantly diagnosed in white women, Graves and others believe this statistic may reflect healthcare disparities rather than actual prevalence, as women of color frequently encounter greater challenges accessing care and securing an accurate diagnosis.

Knowles’s voice in this conversation brings much-needed attention to these disparities. Following her post, many people of color within the chronic illness community expressed gratitude, noting how powerful it is to see someone of similar background share in the same struggles. For many, Knowles’s openness provides not only visibility but a sense of allyship in a healthcare system that can often feel isolating.

Bridging Awareness Gaps and Inspiring Community Empowerment

Knowles’s public disclosure extends beyond personal healing, as it also addresses the stigma often associated with chronic illness. By speaking openly about her health journey, Knowles is helping to normalize conversations around these conditions and reduce the shame often felt by those who struggle silently. Her alignment with the experiences of others dealing with POTS, Sjogren’s, and MCAS is a powerful act of solidarity that reinforces the message: “We are more than our diagnoses.”

In sharing her story, Knowles has brought attention to the resilience required to live with these conditions, especially in the public eye. She continues to inspire others to embrace their full identity, transcending illness and finding strength in community, visibility, and advocacy.


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