During a flare, some of the symptoms you already had get worse or brand-new symptoms appear. It could be a light rash that spreads or gets darker or mouth sores that suddenly show up. If you experience increased lupus symptoms, known as a flare, it may mean your disease is active.
Painful, swollen joints. An increase in fatigue. Rashes. Sores or ulcers in the mouth or nose.
For example, let's say you get rashes and joint pain when your lupus is not well controlled. During a lupus flare, you could expect to have rashes, joint pain, and possibly a new symptom, too. Some common symptoms of lupus flares include: Painful and swollen joints.
How long does a lupus flare last? Lupus flares can vary in length. Some may last several days; others may span weeks or more.
You may experience pain and stiffness, with or without swelling. This affects most people with lupus. Common areas for muscle pain and swelling include the neck, thighs, shoulders, and upper arms. Fever.
An infection, a cold or a viral illness. An injury, particularly traumatic injury. Emotional stress, such as a divorce, illness, death in the family, or other life complications. Anything that causes stress to the body, such as surgery, physical harm, pregnancy, or giving birth.
Erythrocyte sedimentation rate (ESR) paired with C reactive protein (CRP) may help to distinguish lupus flare from infection, in which one would expect a raised ESR with a normal CRP in the former, and a raised ESR and CRP in the latter.
Kidneys About one half of people with lupus experience kidney involvement, and the kidney has become the most extensively studied organ affected by lupus. Lungs About 50% of people with SLE will experience lung involvement during the course of their disease.
Ninety percent of people with lupus will experience general fatigue and malaise at some point during the course of the disease. Some people find a short 1 ½ hour afternoon nap to be effective in reducing fatigue.
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.
The general symptoms include: fever, malaise, arthralgias, myalgias, headache, and loss of appetite and weight. Nonspecific fatigue, fever, arthralgia, and weight changes are the most common symptoms in new cases or recurrent active SLE flares.
Antibody blood tests
The test you will hear about most is called the antinuclear antibodies test (the ANA test). 97% of people with lupus will test positive for ANA.
These flare-ups, or relapses, are unpredictable. Some people may experience flare-ups every few years. Others may have them with greater frequency. Lupus flare-ups can occur at any time, and last anywhere from several days to a few weeks or more.
Anti-Nuclear Antibody (ANA) Test. Anti-nuclear antibodies (ANA) are autoantibodies to the nuclei of your cells. 98% of all people with systemic lupus have a positive ANA test, making it the most sensitive diagnostic test for confirming diagnosis of the disease.
Signs can range from a mild rash and arthritis to kidney failure and seizures — “with a whole spectrum in between,” she says. Symptoms can also mimic other diseases, including infections and cancer.
During a flare, some of the symptoms you already had get worse or brand-new symptoms appear. It could be a light rash that spreads or gets darker or mouth sores that suddenly show up. If you experience increased lupus symptoms, known as a flare, it may mean your disease is active.
Your joints might feel tender and warm. You also might have pain in the joint itself. Lupus-related arthritis can be similar to rheumatoid arthritis, but your symptoms likely won't be as severe, with less swelling and stiffness in the morning. You're also less likely to have permanent joint damage.
For example, untreated lupus can lead to blood disorders such as anemia or thrombosis. Other potential serious complications include: Chronic digestive distress that could include difficulty swallowing, dry mouth, indigestion, intestinal inflammation, liver enlargement, or pain when vomiting or feeling nauseous.
Lupus often causes skin rashes, arthritis, mouth sores, sun sensitivity, hair loss, or kidney problems, but these symptoms don't show up in MS. Even when lupus affects your nervous system, its most common symptoms are migraine, personality changes, seizures, or stroke, but these aren't typical for MS.
Non-steroidal anti-inflammatory medications (NSAIDs)
NSAIDs are used to reduce inflammation, pain and fever associated with lupus. They include over-the-counter medications such as ibuprofen (for example, Nurofen®), or prescription medications such as Voltaren® Celebrex® and Orudis®.
Reduce stress and tiredness
A daily walk or swim, for example, can lower stress, clear your head, improve your mood, and help fight tiredness. Use meditation, yoga, or guided imagery to relax. Get plenty of rest. Some people with lupus need up to 12 hours of sleep every night.