A doctor may use the phrase "borderline lupus" when symptoms or blood test results suggest lupus, but there is not enough information for a definite diagnosis.
Types of lupus
Symptoms range from mild to severe, and many people will have long periods with few or no symptoms before experiencing a sudden flare-up, where their symptoms are particularly severe. Even mild cases can be distressing and have a considerable impact on a person's quality of life.
Patients who have fewer symptoms than required to meet classification criteria are said to have “pre-lupus,” “incomplete lupus,” “evolving lupus,” forme fruste lupus (a French term that translates as “incomplete or unfinished form”), or undifferentiated connective tissue disease (UCTD).
Common triggers include:
Being out in the sun or having close exposure to fluorescent or halogen light. Infection. Injury. Stopping your lupus medicines.
Studies suggest that a small percentage of people in this "borderline" group go on to develop additional symptoms or blood work findings and are eventually diagnosed with lupus or a related condition. This progression usually occurs within the first five years. However, most people never develop additional criteria.
Lupus can cause a wide variety of early symptoms, which include fatigue, butterfly face rash, skin changes, joint pain, and more. Both symptoms and their severities vary greatly from one person to another.
Lupus is known as "the great imitator" because its symptoms mimic many other illnesses. Lupus symptoms can also be unclear, can come and go, and can change. On average, it takes nearly six years for people with lupus to be diagnosed, from the time they first notice their lupus symptoms.
Antibody blood tests
The test you will hear about most is called the antinuclear antibodies test (the ANA test). 97% of people with lupus will test positive for ANA.
Kidneys About one half of people with lupus experience kidney involvement, and the kidney has become the most extensively studied organ affected by lupus. Lungs About 50% of people with SLE will experience lung involvement during the course of their disease.
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 sores.
98% of all people with systemic lupus have a positive ANA test, making it the most sensitive diagnostic test for confirming diagnosis of the disease. The test for anti-nuclear antibodies is called the immunofluorescent antinuclear antibody test.
Blood and urine tests.
The antinuclear antibody (ANA) test can show if your immune system is more likely to make the autoantibodies of lupus. Most people with lupus test positive for ANA. But, a positive ANA does not always mean you have lupus.
Saturated Fat and Trans Fat
Foods that contain saturated fat or trans fat also contain steroids that can contribute to weight gain because they increase your appetite. It is best to limit both as much as possible since being overweight or obese could worsen your lupus symptoms.
Lupus often causes skin rashes, arthritis, mouth sores, sun sensitivity, hair loss, or kidney problems, but these symptoms don't show up in MS. Even when lupus affects your nervous system, its most common symptoms are migraine, personality changes, seizures, or stroke, but these aren't typical for MS.
Weight changes — Lupus can sometimes cause weight loss or weight gain. Weight loss may be unintentional and due to decreased appetite or problems with the digestive system (see 'Digestive system' below).
The seriousness of SLE can range from mild to life-threatening. The disease should be treated by a doctor or a team of doctors who specialize in care of SLE patients. People with lupus that get proper medical care, preventive care, and education can significantly improve function and quality of life.
As a result, people with lupus are frequently misdiagnosed with rheumatoid arthritis, fibromyalgia, chronic fatigue, skin disorders, psychological disorders such as anxiety and depression or receive no answers at all.
Lupus is not a hereditary condition. However, genetic factors play an important role in developing lupus, and certain inheritable genes may increase a person's risk of lupus. Lupus is a chronic autoimmune condition in which the immune system mistakenly attacks healthy tissue.
The effects lupus may have in and around the eyes include: changes in the skin around the eyelids, dry eyes, inflammation of the white outer layer of the eyeball, blood vessel changes in the retina, and damage to nerves controlling eye movement and affecting vision.
Sunlight, stress, smoking, certain medicines, and viruses may trigger symptoms in people who are most likely to get lupus due to their genes. Hormones such as estrogen. Lupus is more common in women during their childbearing years when estrogen levels are highest. Problems with the immune system.