Lupus Symptoms: Pain, Fever, and Skin Care Tips - Dermatology

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Systemic lupus erythematosus (SLE)


Hello Dr.
Li, my sister was diagnosed with lupus erythematosus last April.
She has been taking medication to manage it and has been avoiding sun exposure.
However, after coming home on June 9, she experienced widespread pain and a bit of fever.
What could be the cause of this? Could it be that she has developed two conditions simultaneously, or could this also be a symptom of lupus erythematosus? What should we do?

Xi De, 10~19 year old female. Ask Date: 2016/06/11

Dr. Li Yufen reply Dermatology


Hello: It is recommended that your sister promptly return to the rheumatology department for diagnosis and treatment.
Thank you!

Reply Date: 2016/06/11

More Info


Hello, thank you for your question. It sounds like your sister is experiencing some concerning symptoms that can indeed be associated with systemic lupus erythematosus (SLE), commonly known as lupus. The symptoms of pain, fever, and skin issues can be indicative of lupus activity or flares, which can occur even when a patient is on medication and taking precautions such as avoiding sun exposure.

Lupus is an autoimmune disease that can affect multiple systems in the body, leading to a wide range of symptoms. The pain your sister is experiencing, described as a "stinging" sensation, could be related to lupus-induced inflammation. Lupus can cause inflammation in various tissues, including the skin, joints, and even internal organs, which can manifest as pain. The fever could also be a sign of an active disease process, as lupus can lead to systemic inflammation that results in fever.

It's important to note that while lupus can cause a variety of symptoms, experiencing new or worsening symptoms does not necessarily mean that your sister has developed another disease. However, it is crucial to monitor these symptoms closely, as they may indicate a flare of her lupus. Flares can be triggered by various factors, including stress, infections, or even changes in medication.
In terms of management, it is essential for your sister to communicate these symptoms to her healthcare provider as soon as possible. They may recommend adjusting her medication or conducting further tests to assess her current health status. It’s not uncommon for lupus patients to require adjustments in their treatment plan based on their symptoms and laboratory results.

For immediate care, here are some tips that may help alleviate her symptoms:
1. Rest: Encourage her to rest as much as possible. Fatigue is a common symptom of lupus, and rest can help her body recover.

2. Hydration: Staying well-hydrated is important, especially if she has a fever. Fluids can help maintain her overall health and support her immune system.

3. Pain Management: Over-the-counter pain relievers, such as acetaminophen or nonsteroidal anti-inflammatory drugs (NSAIDs), may help manage her pain and reduce fever. However, she should consult her doctor before taking any new medications.

4. Skin Care: If she has skin rashes or sensitivity, using gentle, fragrance-free moisturizers can help soothe her skin. Sun protection is crucial, so she should continue to use sunscreen and wear protective clothing when outdoors.

5. Monitor Symptoms: Keep a close eye on her symptoms, including any changes in pain levels, fever, or new rashes. Documenting these changes can be helpful for her healthcare provider.

6. Follow-Up: Schedule a follow-up appointment with her rheumatologist or primary care physician to discuss her symptoms and any necessary adjustments to her treatment plan.

In conclusion, while the symptoms your sister is experiencing may be related to her lupus, it is vital to consult her healthcare provider for a thorough evaluation. They can provide the best guidance tailored to her specific situation and ensure she receives the appropriate care. Lupus management often requires a collaborative approach, and staying in close contact with her medical team is essential for her health and well-being.

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