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“butterfly pattern” on the face. This is the typical “malar rash..
Livedo reticularisA mottled purplish discoloration of the skin
Subacute Cutaneous Lupus erythematosus (SCLE
Lupus Symptom: Joint Pain
Lupus Symptom: Butterfly Rash
Lupus Symptoms: Fever and Fatigue
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Lupus Symptom: Light Sensitivity
Lupus Symptom: Hair Loss
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Lupus or Something Else?
Who Gets Lupus?• Anyone , But more than 90% of people are women. :• African-American, Latino, or Asian • Aged 15 to 45 • Related to someone with lupus
Types of Lupus• systemic lupus erythematosus (SLE)• Cutaneous lupus erythematosus (discoid lupus • Drug-induced systemic lupus
Medical Treatments for Lupus
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Self-Care for Lupus• Cover up when you're in the sun• Don't smoke. • Exercise regularly. • Improve your stress management skills. • Also be sure to get plenty of rest..
Lupus and Kidney Problems
Lupus and Heart Problems
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Lupus and Lung Problems
Lupus and Digestive Problems
Discoid lupus erythematosus
Subacute LE
Drug-induced lupus
Systemic LE
•Livedo reticularis can be a normal condition that is simply more obvious when a person is exposed to the cold.
•Livedo reticularis can also be an indicator of impaired circulation. Livedo reticularis has been reported in association with:
•Autoimmune diseases such as systemic lupus erythematosus .•Abnormal antibodies referred to as phospholipid antibodies.
Examples of these antibodies are the cardiolipin antibody and falsely positive testing for syphilis .
•A syndrome featuring phospholipid antibodies with multiple brain strokes. It is felt that the blood of these patients has a propensity to
clot which may predispose to stroke.
•Erythematous, warm, plaques in light exposed distribution (also on patient's
neck), consistent with recrudesence of known Subacute Cutaneous Lupus
Erythematosus (SCLE). Image courtesy of Diego Jarrin, M.D .
•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, elbows, knees, or ankles. The joints may look inflamed and feel warm to the touch. But unlike rheumatoid arthritis, lupus usually does not cause permanent
joint damage.
•A tell-tale sign of lupus is a butterfly-shaped rash across the cheeks and bridge of the nose. Other common skin problems
include sensitivity to the sun with flaky, red spots or a scaly, purple rash on various
parts of the body, including the face, neck, and arms. Some people also develop
mouth or lip sores.
•Lupus can cause the nails to crack or fall off. They may be discolored with blue or
reddish spots at the base. These spots are actually in the nail bed, the result of
inflamed small blood vessels. Swelling may also make the skin around the base
of the nail look red and puffy.
•The symptoms of lupus tend to come and go, and this includes hair loss. Patients
may go through periods where their hair falls out in patches or becomes thinner all
across the scalp. Once the flare-up is over, new hair is likely to grow in evenly
•Some people with lupus develop a condition called Raynaud's phenomenon. Their fingers and toes become painful, numb, and tingly in
response to cold temperatures or emotional stress. This happens when small blood vessels
spasm and restrict blood flow to the area. During an attack, the fingers and toes may turn white or
blue. People can also have Raynaud's without having lupus or any serious health
complications.
•When lupus begins, it can look a lot like rheumatoid arthritis, which causes joint
pain and swelling, or fibromyalgia, which causes fatigue and pain. One aspect that
sets lupus apart is the combination of skin rashes with joint pain and fatigue. There
are also lab tests that can help distinguish lupus from other diseases
•.
•Diagnosing lupus can be tricky. The disease can mimic other conditions, and it often takes a
different course in different people. Many people have it for years before developing tell-tale
symptoms. Although there is no one test for lupus, certain proteins usually show up in a patient's blood. A blood test for antinuclear
antibodies (ANAs) can provide a critical clue. Other lab tests may check cell counts, kidney
function, and clotting time. A tissue biopsy sometimes helps with diagnosis.
•Digestive problems are not common with lupus, but some people may experience
belly pain, nausea, vomiting, difficulty swallowing, or inflammation of the liver or
pancreas. This can be related to lupus itself or medications used to treat the
disease. Some people tend to lose weight during lupus flare-ups.
•Depression and anxiety are a risk for people with lupus. This may be the result of the condition's
affect on the nervous system combined with the emotional strain of coping with a chronic illness.
Be sure to discuss any concerns about your mood with your doctor or other health care
provider. There are highly effective treatments for depression and anxiety
•.
•Most women with lupus can get pregnant, though the condition increases the risk of
complications during pregnancy. Because lupus symptoms come and go, the best time to get
pregnant is when symptoms are at a minimum. Women who conceive when symptoms are in
remission are less likely to have flare-ups or complications. Make sure your obstetrician
knows you have lupus. You medications may be modified and you may undergo extra monitoring
to ensure a successful pregnancy.
•Most babies born to women with lupus are entirely healthy. But in rare cases, the
newborn of a mom with lupus may have neonatal lupus. This condition can cause a
skin rash, anemia, or liver problems. The symptoms usually go away after a few
months and don't cause permanent damage. However, some babies with
neonatal lupus are born with a serious heart defect.
•The fatigue and joint pain associated with lupus can make it more difficult to do your
job or care for your children. You may have to cut back on activities or ask for help when symptoms flare up. But most
people with lupus are able to continue with their usual activities.
•Thanks to improvements in treatments for lupus, people with the condition are living
significantly longer. The outlook for any given individual depends on how severe
the disease is, and whether any vital organs are affected. But most people with
lupus can expect to live a normal or nearly normal life span.
