Most people with lupus show few truly noticeable signs of the illness. Some may have a rash that comes and goes; a very few may suffer arthritis that is noticeable (this rarely happens early on), and those who are on steroids for several weeks may acquire a puffiness to their face that they could live without.
Lupus can also drastically change one's appearance. Patients can have hair loss, rashes and scarring, as well as medication side effects like weight gain, hair loss and stretch marks,” says Dr. Jolly, who has led a number of studies on body image in people with lupus.
Skin rashes are a common sign of lupus, an autoimmune disease. A butterfly-shaped rash on your face — called a malar rash — often occurs. This rash reaches across your nose, from cheek to cheek, in a shape that resembles a butterfly. In addition to the malar rash, lupus skin rashes can appear anywhere on your body.
A typical sign of lupus is a red, butterfly-shaped rash over your cheeks and nose, often following exposure to sunlight. No two cases of lupus are exactly alike. Signs and symptoms may come on suddenly or develop slowly, may be mild or severe, and may be temporary or permanent.
Class 4, or diffuse lupus nephritis
Class 4 involves damage to more than half of the glomerulus. A person will have high blood pressure. They may require dialysis as kidney function begins to worsen.
The effects lupus may have in and around the eyes include: changes in the skin around the eyelids, dry eyes, inflammation of the white outer layer of the eyeball, blood vessel changes in the retina, and damage to nerves controlling eye movement and affecting vision.
As a result, people with lupus are frequently misdiagnosed with rheumatoid arthritis, fibromyalgia, chronic fatigue, skin disorders, psychological disorders such as anxiety and depression or receive no answers at all.
Chronic cutaneous lupus (also called discoid lupus) causes round, disc-shaped sores, usually on the face and scalp. The sores can cause scars or changes in skin color. Subacute cutaneous lupus causes a red scaly rash or red ring-shaped sores. It usually happens on skin that gets sunlight, like the neck and arms.
Periorbital and facial swelling occurs in dermatomyositis and systemic lupus, but it has been rarely reported as a manifestation of exclusively cutaneous lupus.
For some people, living with and managing lupus can cause weight gain. Weight gain may also lead to worsening lupus symptoms and complications associated with obesity. Some potential causes of weight gain that relate to lupus may include: being a side effect of medications such as corticosteroids.
There are different types of lupus, and each can affect the skin differently. You may see a rash, sores, swelling, or other changes. These changes often appear on skin that gets sun like the: Face.
Often, people with lupus experience weight loss or gain due to loss of appetite, unhealthy dietary habits, or decreased energy and mobility. If you experience weight loss or loss of appetite, talk to your doctor. S/he can help you determine the cause of the problem and take strides to correct it.
People with lupus may experience unpredictable changes in moods and personality traits. This can include feelings of anger and irritability. These may be related to the disease process or, in some cases, the use of corticosteroid medications.
Tooth decay was present in 100% of people with active lupus disease and 85% of people with inactive lupus – possibly due to reduced salivary flow or dry mouth, a common development of lupus. People with lupus exhibit more tooth loss than healthy population.
Lupus can slow the digestive process, and this can cause a wide variety of GI issues. Digestive problems may be the direct result of an attack by the immune system or from medications to treat lupus. These digestive difficulties include nausea, vomiting, diarrhea, or constipation.
Lupus can damage tear glands, tear ducts, and the mucosal tissues that help lubricate the eye. This can lead to a condition called keratoconjunctivitis sicca , also known as dry eye syndrome. Dry eye syndrome causes a persistent gritty sensation in the eye or under the eyelid.
You may get rashes on any part of your body that is exposed to the sun, such as your face, arms, and hands. One common sign of lupus is a red, butterfly-shaped rash across the nose and cheeks. Chest pain. Lupus can trigger inflammation in the lining of the lungs.
Lupus symptoms can also be unclear, can come and go, and can change. On average, it takes nearly six years for people with lupus to be diagnosed, from the time they first notice their lupus symptoms.
Hair loss is common in people living with lupus. The autoimmune disease causes body-wide inflammation that attacks the joints and skin, including the scalp. This can result in hair loss (alopecia ). Lupus-related hair loss can occur slowly, causing hair to become noticeably thinner gradually.
With close follow-up and treatment, 80-90% of people with lupus can expect to live a normal life span. It is true that medical science has not yet developed a method for curing lupus, and some people do die from the disease. However, for the majority of people living with the disease today, it will not be fatal.
The most common lupus symptoms (which are the same for men and women) are: Extreme fatigue (feeling tired all the time) Pain or swelling in the joints. Swelling in the hands, feet, or around the eyes.
Severe abdominal pain. Chest pain or shortness of breath. Seizures. New onset of a fever or if your fever is much higher than usual.