Introduction



Determining whether you have lupus can be hard, especially since it can look very similar to other autoimmune and chronic disorders. This article will discuss how lupus presents in the early stages and why it's often misunderstood so that you can feel informed enough to speak to a healthcare professional about whether you have lupus.



Before you read...



*Disclaimer:

The information provided in this article is for general informational purposes only and is not intended as medical advice. It should not be used as a substitute for professional diagnosis, treatment, or advice from a qualified healthcare provider. Reliance on any information provided in this article is solely at your own risk.



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What is Lupus, and What it is Not



The symptoms of lupus often mimic those of many other diseases. As such, it is very easy to mistake lupus for other diseases. Knowing what lupus is and isn’t can clear up medical misunderstandings and lead to a more accurate diagnosis.


Lupus is an autoimmune disorder, meaning the immune system is attacking its own body. This leads to inflammation and swelling within the body. It is also chronic, meaning symptoms are long-term and may worsen periodically in “flare-ups.”


Many believe that lupus solely affects the skin. While it is true that for some, damage may only occur on the skin (cutaneous lupus), most lupus patients have systemic lupus erythematosus, meaning lupus affects all parts of the body, not just the skin. The potential causes and age of manifestation can vary as well. Some lupus patients may have drug-induced lupus, while others may have neonatal lupus, which is lupus that manifests as an infant. In short, lupus is not a singularly and rigidly defined disease. Instead, lupus is a complex autoimmune disorder which presents differently for everyone who has it.


Furthermore, viral infections such as Hepatitis C virus (HCV) or Epstein-Barr virus (EBV) can manifest very similarly to lupus. They share symptoms such as fatigue, rashes, and fever. However, the important distinction to make is that lupus is not contagious. Unlike HCV and EBV, it is not possible to contract lupus from another person who has lupus.





Early Stage Lupus



• Fatigue. Lupus leads to excess inflammation and stress, which puts a heavy strain on the body and leads to exhaustion. If you are feeling fatigued for extremely long periods at a time that doesn’t seem to go away even if you rest and which interrupts your work, school, or social life, it could be related to lupus.

• Joint pain, stiffness, and swelling. Lupus can attack the joints in the fingers, wrists, ankles, and knees. Joint pains can come and go, but it’s important to take them into consideration when evaluating whether you have lupus.

• Skin rashes. Lupus can lead to rashes anywhere, but it is most often identified by the malar rash, or “butterfly rash,” that spreads across the cheeks and nose bridge. Rashes may also develop after being in the sun, as increased photosensitivity is also a common symptom of lupus.

• Susceptibility to disease. Lupus weakens the immune system, so infections and diseases can last much longer than usual. Fevers are extremely common. If you are experiencing repeated fevers, take it into consideration when evaluating whether you have lupus.

• Cognitive impairment. Lupus can target the nervous system and lead to cognitive impairments such as brain fog, memory issues, confusion, and difficulty multitasking. It may even be that intense pain or stress leads to a lack of sleep, which can subsequently make focusing difficult.


It is important to note that even if these symptoms are characteristic of lupus, they may also be occurring separately from lupus. Regardless, speak to your doctor if you are suffering from these symptoms, especially if they don’t seem to be constant and fluctuate in severity over the span of weeks or months. Such symptoms should never be ignored if they are life-threatening or extremely serious.





Approaching Diagnosis



Since lupus is so complex, there is not one test to diagnose it. Healthcare professionals will consider a variety of factors, such as a physical exam, symptoms, medical history, and the results of blood and urine tests.


If your doctor suspects lupus, they may refer you to a rheumatologist. Rheumatologists are doctors that specialize in autoimmune diseases.


It is important that you communicate regularly with a healthcare professional. Schedule regular checkups, don’t be afraid to ask questions, and get help immediately if symptoms are particularly bad. If a family member has lupus, talk to them about their experience with the disease.





Conclusion



Receiving a proper lupus diagnosis is difficult. It is easily mistaken for other diseases, and is characterized by symptoms that can seem benign at a glance. That’s why it’s important to know what lupus can manifest in its early stages so you can confidently confide in a healthcare professional if you suspect you have lupus. Understanding the five major symptoms—fatigue, joint issues, skin rashes, susceptibility to disease, and cognitive impairment—can make diagnosis much easier.





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