Table 6.

Common symptoms of lupus

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Painful or swollen joints (arthritis), and muscle pain.

Unexplained fever: Fever is usually a feature of a flare of the disease. Fever is unusual when the disease is in a quiet phase: therefore in an
adult or a child known to have lupus who develops fever the possibility that a separate diagnosis such over infection might be present always
needs consideration.
Skin rashes: Red rashes, most commonly on the face, especially in the cheeks. Rashes may also occur in the ears, upper arms, shoulders,
chest, and hands and other areas exposed to the sun. A wide variety of skin rashes occur in lupus. Traditionally these are sun-sensitive
(photosensitive) but this is not always the case. The commonest rashes are on the cheeks (the butterfly rash across the nose and cheeks),
however other rashes can occur on the elbows, on the palms and soles and on the V-neck area. The rashes vary from pinkish discoloration
through to blisters and purpura. Most rashes in lupus have a tendency to come and go. Pale or purple fingers or toes from cold or stress
(Raynaud's phenomenon) could also be present. Unusual loss of hair.
Chest pain upon deep breathing, or changing positions. These may caused by pericarditis, tamponade, and constriction. These complications
can produce reduced cardiac pumping, lung congestion, and organ failure. Doctors can usually diagnose pericarditis by taking a careful
medical history, performing a physical examination, and doing an ECG Sometimes an echocardiogram can be helpful in making the
diagnosis. Tamponade occurs when fluid accumulating in the pericardial sac prevents the heart from filling completely. When this happens,
the blood pressure drops and the lungs become congested, and the patient experiences weakness, dizziness and lightheadedness, and extreme
shortness of breath. If treatment is not given, death can occur.
Photosensitivity (sunlight skin rashes often first develop or worsen after sun exposure).
Edema in the legs and or ankles and or around the eyes.
Mouth, nose and or other mucosa ulcers with pain.
Swollen of several glands and or swollen lymph glands.
Extreme fatigue.
Anemia.
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Headaches, dizziness, depression, confusion, or seizures

Pale or purple fingers and toes from cold and stress.

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