Lupus is an autoimmune disease that causes swelling (inflammation) and a wide variety of symptoms.
Symptoms usually start in early adulthood, anywhere from the teen years to the 30s.
As with some other autoimmune diseases, people with lupus generally experience flare-ups
of symptoms followed by periods of remission.
That’s why early signs are easy to dismiss.
Because early symptoms are similar to those of so many other conditions, having them doesn’t
necessarily mean you have lupus.
Fatigue
A whopping 90 percent of people with lupus experience some level of fatigue, according
to the Johns Hopkins Lupus Center.
An afternoon nap does the trick for some people, but sleeping too much during the day can lead
to insomnia at night.
It may be hard to do, but if you can remain active and stick to a daily routine, you may
be able to keep your energy levels up.
If you are living with debilitating fatigue, speak to your doctor.
Some causes of fatigue can be successfully treated.
Unexplained Fever
One of the early signs of lupus is a low-grade fever for no apparent reason.
Because it may hover somewhere between 98.5 and 101 degrees Fahrenheit, you won’t necessarily
think to see a doctor.
People with lupus may experience this type of fever in an on-again, off-again fashion.
Low-grade fever could be a sign of inflammation, infection, or imminent flare-up.
If you have recurrent, low-grade fevers, make an appointment to see your doctor.
Hair Loss
Thinning hair is often one of the first signs of lupus.
Hair loss is the result of inflammation of the skin and scalp.
Some people with lupus lose hair by the clump, but more often, hair thins out slowly.
Some people also have thinning of the beard, eyebrows, eyelashes, and other body hair.
Lupus can cause hair to feel brittle, break easily, and look a bit ragged, earning it
the name “lupus hair.”
Skin Rash or Lesions butterfly rash
One of the most visible signs of lupus is the butterfly-shaped rash that appears over
the bridge of the nose and both cheeks.
About 50 percent of people with lupus have this rash, according to the Johns Hopkins
Lupus Center.
The rash can occur suddenly or appear after exposure to sunlight.
Sometimes the rash appears just before a flare-up.
Pulmonary Issues
Inflammation of the pulmonary system is another possible marker of lupus.
Not only can the lungs themselves become inflamed, but the swelling can also extend to lung blood
vessels.
Even the diaphragm may be affected.
These can all lead to chest pain when you try to breathe in, a condition often referred
to as pleuritic chest pain.
Kidney Inflammation
People with lupus can develop a kidney inflammation called nephritis.
Inflammation makes it harder for the kidneys to filter toxins and waste from the blood.
According to the Lupus Foundation of America, nephritis usually begins within five years
of the start of lupus.
Painful, Swollen Joints
Inflammation can cause pain, stiffness, and visible swelling in your joints, particularly
in the morning.
It may be mild at first, gradually becoming more obvious.
Like other symptoms of lupus, joint problems can come and go.
Gastrointestinal Problems
Some people with lupus experience occasional heartburn, acid indigestion, or other gastrointestinal
problems.
Mild symptoms can be successfully treated with over-the-counter antacids.
If you have frequent bouts of acid indigestion or heartburn, try cutting down on the size
of your meals.
Avoid beverages containing caffeine.
Don’t lie down right after a meal.
If symptoms continue, see your doctor so other conditions can be ruled out.
Thyroid Problems
It’s not uncommon for people with lupus to develop autoimmune thyroid disease.
The thyroid helps control your body’s metabolism.
A poorly functioning thyroid can affect vital organs like your brain, heart, kidneys, and
liver.
It can result in weight gain or weight loss.
Other symptoms include dry skin and hair, as well as moodiness.
Dry Mouth, Dry Eyes
If you have lupus, you may have dry mouth.
Your eyes may feel gritty and dry, too.
That’s because some lupus patients develop Sjogren’s syndrome, another autoimmune disorder.
Sjogren’s syndrome causes malfunctioning of the glands responsible for tears and saliva.
In some cases, women with lupus may also experience dryness of the vagina.
The list of potential symptoms of lupus is lengthy.
Other symptoms include muscle pain, chest pain, osteoporosis, and depression.
Rare symptoms include anemia, dizziness, and seizures.
Fortunately, not everyone gets every symptom.
While new symptoms can appear on the scene, old ones often disappear.