Can you have lupus without the rash?

Sometimes the rash appears just before a flare-up. Lupus can also cause non-itchy lesions in other areas of the body. Rarely, lupus can cause hives.
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Can people have lupus without the butterfly rash?

Lupus can be difficult to diagnose because its signs and symptoms often mimic those of other ailments. The most distinctive sign of lupus — a facial rash that resembles the wings of a butterfly unfolding across both cheeks — occurs in many but not all cases of lupus.
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Can you have lupus and not have skin problems?

Discoid cutaneous lupus

In some cases, you may not experience any symptoms. Most often, symptoms will develop on your face, ears or scalp. However, you can develop symptoms on other parts of your body too.
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What can mimic lupus symptoms?

Here are the conditions that are most likely to mimic the symptoms of lupus and how to make sure you get the right diagnosis.
  • Rheumatoid arthritis. ...
  • Rosacea and other skin rashes. ...
  • Dermatomyositis. ...
  • Undifferentiated Connective Tissue Disease. ...
  • Hashimoto's disease. ...
  • Sjögren's syndrome. ...
  • Fibromyalgia.
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Can you have a mild form of lupus?

Systemic lupus erythematosus (SLE or lupus)

Lupus can range from mild to life-threatening. This very much depends on the parts of the body that are being attacked by the immune system. The most common forms of lupus are milder forms, and most people enjoy a full life, even though they may need to take medications.
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Lupus myths: Diagnosing Lupus



What does lupus inflammation feel like?

Joint and muscle pain is often the first sign of lupus. This pain tends to occur on both sides of the body at the same time, particularly in the joints of the wrists, hands, fingers, and knees. The joints may look inflamed and feel warm to the touch.
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Can you still have lupus with normal blood work?

Dr. Michael Lockshin: The diagnosis of lupus is never made by blood test alone, since some people have positive blood tests but no disease. To make a diagnosis of lupus, you need to have both symptoms and, generally, positive blood tests.
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Does lupus show up in blood work?

No one test can diagnose lupus. The combination of blood and urine tests, signs and symptoms, and physical examination findings leads to the diagnosis.
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What other autoimmune diseases are similar to lupus?

Common diseases that overlap with lupus:
  • Autoimmune thyroid disease.
  • Celiac disease.
  • Myasthenia gravis.
  • Antiphospholipid syndrome.
  • Rheumatoid arthritis.
  • Polymyositis.
  • Dermatomyositis.
  • Scleroderma.
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What are the top 10 signs of lupus?

Top 10 Most Common Lupus Symptoms Include:
  • Achy or swollen joints (arthralgia)
  • Unexplained fever (more than 100° F)
  • Swollen joints (arthritis)
  • Prolonged or extreme fatigue.
  • Skin rash, including a butterfly-shaped rash across the cheeks and nose.
  • Pain in the chest when breathing deeply (pleurisy)
  • Hair loss.
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What labs are abnormal with lupus?

Complete Blood Count (CBC)

CBC provides information about the red blood cell (RBC), white blood cell (WBC), and platelet counts, and health of RBCs, all of which may be abnormal in lupus and may need treatment. Common issues are: Low RBC (hematocrit, hemoglobin). A normal hematocrit is 35-40%, hemoglobin 11.5-15.0.
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Does lupus make your stomach swell?

Lupus and the abdomen

Lupus can also cause other problems in the abdomen, including peritonitis (inflammation of the abdominal lining) and ascites (a build-up of fluids in the abdomen). Symptoms of peritonitis and ascites include: Abdominal pain and swelling.
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Is lupus joint pain always symmetrical?

There are many subsets of arthritis, but the arthritis seen in lupus closely resembles rheumatoid arthritis in that it is symmetric (affects the same locations on either side of the body) and usually affects the small joints of the hands, wrists, and feet.
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How long can lupus go undiagnosed?

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.
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Can lupus make you feel sick all the time?

Many people who have active lupus feel ill in general. They have fever, weight loss, and fatigue. When their immune system attacks a certain organ or part of the body, they can also have more specific problems.
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Do I have lupus checklist?

Common signs and symptoms of lupus

Extreme fatigue (feeling tired all the time) Pain or swelling in the joints. Swelling in the hands, feet, or around the eyes. Headaches.
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Does lupus cause weight gain?

Muscle pain — Muscle pain or tenderness is common in people with lupus; rarely, some people also notice muscle weakness. Weight changes — Lupus can sometimes cause weight loss or weight gain.
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How do rheumatologists diagnose lupus?

The rheumatologist will take a thorough history of your symptoms and do a physical exam looking for the signs and symptoms of lupus. They will also run blood tests to check for indications of lupus. The first blood test a rheumatologist will conduct to check for lupus is called an antinuclear antibody (ANA) test.
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Does lupus always cause a rash?

Skin rash or lesions

It can occur suddenly or appear after exposure to sunlight. Sometimes the rash appears just before a flare-up. Lupus can also cause non-itchy lesions in other areas of the body. Rarely, lupus can cause hives.
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What is considered borderline lupus?

Borderline lupus, which can also be known as unspecified connective tissue disease, or probable lupus, or latent lupus, would define a patient who may have a positive ANA without a DNA or Smith antibody (blood tests used to diagnose lupus), who has arthralgias rather than arthritis, a brain fog or memory loss, and no ...
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Do all lupus patients have positive ANA?

95% of people with lupus test positive for ANA, but a number of other, non-lupus causes can trigger a positive ANA, including infections and other autoimmune diseases. The ANA test simply provides another clue for making an accurate diagnosis.
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Does lupus make your back hurt?

Lupus and other causes of neck and back pain

Lupus can cause neck and back pain, however, because muscles can become inflamed by lupus. Furthermore, the muscle pain syndrome called fibromyalgia that can cause pain in these areas is commonly associated with lupus.
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Does lupus affect the bottom of your feet?

Foot problems in lupus can involve any of the tissue structures in the foot/ankle. These may include, but are not limited to, joint pain and swelling, skin lesions causing additional pain, tenderness and vascular and/or neurological manifestations in the lower limbs.
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Is lupus pain worse at night?

The first signs of AVN can be pain in your knees, hips, or shoulders. This can lead to stiff joints and muscle spasms. Your pain may increase as the condition advances, especially at night.
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