Lupus can also cause inflammation in the joints, which doctors call “inflammatory arthritis.” It can make your joints hurt and feel stiff, tender, warm, and swollen. Lupus arthritis most often affects joints that are farther from the middle of your body, like your fingers, wrists, elbows, knees, ankles, and toes.
Lupus symptoms include: Muscle and joint pain. You may experience pain and stiffness, with or without swelling. This affects most people with lupus.
Many people described the pain of lupus as similar to having the flu. This means having chills and bone-weary aches throughout your entire body. The pain can be numbing and leave you feeling drained of all energy. “I explain it to others as feeling like the flu: achy joints, muscles, bones.”
Joint pain is common in lupus, especially in the small joints of the hands and feet. The pain often moves from joint to joint. Joint pain, swelling and stiffness can be the main symptoms for some people with lupus. In most cases, lupus is unlikely to cause permanent damage or change the shape of joints.
Lupus arthritis is often first treated with nonsteroidal anti-inflammatory medications (NSAIDS), such as ibuprofen or naproxen. Hydroxychloroquine, an antimalarial medication, is typically prescribed for all patients with lupus at the time of diagnosis and is particularly effective in improving joint symptoms.
Some people with lupus develop myositis, an inflammation of the skeletal muscles that causes weakness and loss of strength. Lupus myositis often affects the muscles of your neck, pelvis, thighs, shoulders and upper arms; difficulty in climbing stairs and getting up from a chair are early symptoms.
Lupus and the muscles. Lupus often causes myalgia, or aches and pains in the muscles. Less often, lupus can cause myositis, or inflammation in the muscles — usually in the hips, thighs, shoulders, and upper arms. The most common symptom of myositis is muscle weakness.
Joint and muscle pain are common in both conditions. But people with lupus often have stiffness and swelling in their joints. It can be hard for people with this condition to move. In people with fibromyalgia, on the other hand, the joints move normally and aren't swollen.
The Role of Blood Tests
The most basic test is the antinuclear antibodies (ANA) test. People with lupus are almost always positive for ANA; however, people with RA sometimes test positive as well, as do some healthy people.
Morning stiffness is also common in lupus. Often people with this condition find that a warm shower in the morning helps to loosen the synovial (joint) fluid and help the body to limber up for the day.
Myositis (my-o-SY-tis) is a rare type of autoimmune disease that inflames and weakens muscle fibers. Autoimmune diseases occur when the body's own immune system attacks itself. In the case of myositis, the immune system attacks healthy muscle tissue, which results in inflammation, swelling, pain, and eventual weakness.
Inflammation: Any time your body is experiencing excess inflammation, such as during a lupus flare, you will feel more tired. Anemia: Anemia occurs when your red blood cell count gets low. This means that the amount of oxygen going to your organs will decrease, which can increase your level of fatigue.
Lupus symptoms can come and go. When you have them, doctors call it a “flare.” Common symptoms like fatigue, fever, stress, joint pain, and others can affect your overall quality of life. There's no cure for lupus. This makes living with it a challenge.
Pain and aching in your muscles is common with lupus. You'll usually feel it in your thighs and upper arms. In about 5%-10% of people with lupus, the disease advances to myositis, which can cause painful muscle inflammation, especially in your shoulders, upper arms, hips, and thighs.
Common symptoms that indicate a flare are: Ongoing fever not due to an infection. Painful, swollen joints. An increase in fatigue.
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.
Kidneys About one half of people with lupus experience kidney involvement, and the kidney has become the most extensively studied organ affected by lupus.
The most common response given is that people feel fatigue as a heaviness. It feels like there is a weight constantly pushing down on part of them or on their entire body. With that degree of heaviness, it is much harder to find the energy to move and get things done.
Lupus causes inflammation throughout the body, which can cause problems in organs, including: Kidney damage that can lead to changes in kidney function, including kidney failure. This is called lupus nephritis. Seizures and memory problems due to changes in the brain and central nervous system.
Fatigue and arthritis
Fatigue can be linked to many types of arthritis and related conditions. It's commonly a symptom of autoimmune conditions, such as rheumatoid arthritis, reactive arthritis and lupus. In autoimmune conditions the immune system mistakenly attacks the body's own healthy tissues.
Lupus and Summer Weather
Sun and heat exposure can cause symptoms to flare up because when UVA or UVB rays hit the skin, inflammation in the cells naturally occurs and often sets off a chain reaction of other symptoms.