Lupus can make hands look red, swollen, or develop scaly patches (discoid lupus), but most notably causes Raynaud's phenomenon, where fingers turn white, then blue, then red with cold or stress due to poor blood flow, sometimes leading to sores, ulcers, or gangrene in severe cases, alongside nail changes like pitting or discoloration.
About 10% of all people with lupus will experience hives (urticaria). These lesions usually itch, and even though people often experience hives due to allergic reactions, hives lasting more than 24 hours are likely due to lupus.
Joint pain is common in lupus, especially in the small joints of the hands and feet. The pain often moves from joint to joint. Joint pain, swelling and stiffness can be the main symptoms for some people with lupus. In most cases, lupus is unlikely to cause permanent damage or change the shape of joints.
Many people with lupus also have symptoms that affect their skin and hair, like: A butterfly-shaped rash on your cheeks and nose. Hair loss. Sores in your mouth or nose.
People with lupus can develop red ulcers on the lips, the tongue, and the inside of the mouth. A white halo surrounds these ulcers, and they may or may not cause irritation. Those experiencing a “flare-up” can develop ulcers quite quickly.
Some lupus complications can include:
Lupus causes swelling and irritation, called inflammation, that may affect joints, skin, kidneys, blood cells, brain, heart and lungs. Lupus can be hard to diagnose because its symptoms often are like those of other illnesses. A common sign of lupus is a facial rash that looks like butterfly wings across both cheeks.
Lupus can also cause other problems in the abdomen, including peritonitis (inflammation of the abdominal lining) and ascites (a build-up of fluids in the abdomen). Symptoms of peritonitis and ascites include: Abdominal pain and swelling. Nausea and vomiting.
Swollen glands. Over time, people with lupus may get swollen lymph glands during a flare. Headaches. These are usually related to stress and tension but can be related to a lupus flare.
Subacute cutaneous lupus erythematosus (SCLE) rashes tend to develop on parts of your body that get a lot of sun, such as your arms, shoulders, chest and neck.
They're also common in autoimmune conditions, including rheumatoid arthritis and lupus, where inflammation plays a key role. Night sweats can point to neurological issues such as autonomic neuropathy, which affects the body's temperature control.
Lupus and Sjogren's syndrome are both autoimmune diseases. Up to 5.5 million people in the U.S. have been diagnosed with lupus or Sjogren's syndrome. However, Sjogren's syndrome occurs up to three times more than lupus, but one-third of lupus patients also have Sjogren's syndrome.
Early signs of lupus often include extreme fatigue, joint pain/swelling, unexplained fever, and skin rashes, especially a butterfly-shaped rash on the face, but symptoms vary greatly and can develop slowly or suddenly, including hair loss, sun sensitivity, chest pain, and Raynaud's phenomenon (fingers/toes turning white/blue in cold). Because these symptoms mimic other conditions, seeing a doctor for persistent issues like headaches, mouth sores, or swelling is key for proper diagnosis.
Lupus can cause various fingernail changes including ridges, splitting, discoloration, and separation from the nail bed, which may appear differently depending on skin tone.
Unlike rheumatoid arthritis, erosion of bone usually does not occur, but the hands may appear deformed if there is laxity of the tendons or ligaments.
Many people with lupus have trouble sleeping. If you are waking up a lot at night or having trouble falling asleep, this can lead to more tiredness and fatigue throughout the day.
Lupus can also affect your hair and nails
The most common type of lupus, systemic lupus erythematosus (SLE), can cause dry, coarse hair to develop along the hairline. These dry, coarse hairs break off easily, causing the sparse-looking hair known as lupus hair. Other types of hair loss also develop.
The medicines used most often to manage lupus include:
The most useful tests identify certain autoantibodies that are often present in the blood of lupus patients. A biopsy of the skin or kidneys may also be ordered if those organs are affected. The doctor will look at the entire picture — medical history, symptoms and test results — to determine if you have lupus.
Systemic lupus erythematosus (SLE or "lupus"), as described in medical papers, on the internet, and in public media, generally refers to the disease as seen at its peak onset ages: That is, lupus most often appears when a person is between 15 and 35 years of age – typically with symptoms of arthritis, rash, hair loss, ...
Common Lupus Symptoms
Lupus can attack many different parts of the body. Some call it the cruel mystery. Lupus is an autoimmune disease that can strike any part of the body, but the wide range of symptoms can be easily mistaken for something else.
Having lupus can make everyday life challenging. When your lupus is active, symptoms like joint stiffness, pain, fatigue, confusion, or depression can make simple tasks difficult — and sometimes impossible.
People with lupus should avoid certain supplements, including echinacea, spirulina, and vitamin E. These supplements may increase the immune system response and trigger lupus symptoms. It is also helpful to avoid excess sun exposure, salt, and alfalfa sprouts, which may also make symptoms worse.