Lupus – what are its early symptoms and signs?

Abstract

Abstract Lupus, even in its early stages, can be a chameleon and present in different ways. Photosensitive rashes, arthritis, loss of appetite, swollen lymph glands, and pleurisy are common early features. The physician needs to think of the possible diagnosis of lupus – and then do the right blood tests to clinch the diagnosis. As Chapter 1 has emphasized, patients with lupus may, in the course of their ‘disease career’, develop a wide variety of symptoms and signs. Few patients experience the full range of these problems and, although there are some ‘classical presentations’ (see below and Fig. 2.1), lupus may, in its early phases, be as bewildering to the physician as it is to the patient.