690 people participated in the European Lupus Meeting in Düsseldorf last week (March 21-24). This was 50% increase in comparison to the last ELM in Venice in 2016, which indicates a rising interest in this disease. Most of the participants were lupologists from all across Europe and there were even some from Australia, North- and South America. Lupus Europe was, however, also present and represented all European lupus patients throughout the Meeting. We discussed the future of clinical trials for lupus, the patients´ role in medical research, the importance of Patient Reported Outcomes (PROs), the classification of lupus, had meetings with industry and relevant partners and many many other things… We had a crazy busy schedule, but it was extremely interesting! Thank you to the patient representatives, who volunteered to help us during this great meeting!