1. Butterfly Rash (Malar Rash)
One of the most recognizable signs of lupus is the butterfly-shaped rash that spreads across the cheeks and the bridge of the nose.
This rash may:
Appear flat or raised
Worsen after sun exposure (photosensitivity)
Feel warm or slightly itchy
It’s not always present in every case, but when it does appear, it’s a strong indicator that further testing may be needed.
2. Extreme Fatigue
Fatigue in lupus isn’t just feeling tired after a long day — it’s often debilitating and unrelenting , even after rest or sleep.
People with lupus frequently report:
Feeling exhausted without physical exertion
A sense of heaviness or brain fog
Difficulty completing daily tasks due to low energy
This fatigue can significantly impact quality of life and is one of the most commonly reported symptoms.
3. Joint Pain and Swelling
Arthritis-like symptoms are very common in lupus patients. The disease often causes inflammation in the joints , leading to:
Stiffness, especially in the morning
Pain and swelling in the fingers, wrists, knees, or toes
Symmetrical involvement (both sides of the body)
Unlike typical arthritis, lupus-related joint pain often improves with treatment and during remission periods.
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