chronic pain

Sometimes, a lupus flare-up comes suddenly and without warning. You may see a butterfly rash over the bridge of your nose and swelling, or you may experience headaches, dizziness, a fever and pain in various locations. According to the Lupus Foundation, there are some things that you can do to prevent a flare-up. Always take your prescribed medication, never miss a doctor’s appointment (even if you feel fine), avoid sulfonomide drugs (typically used to treat bronchitis or urinary tract infections), decrease your exposure to sunlight and use sunscreen, get lots of rest and do not smoke. The good news is that 80-90% of the people with lupus can still live a normal life span, with treatment.

There are five types of lupus: systemic lupus erythematosus, which affects the joints and organs; discoid lupus, which affects the skin; sub-acute cutaneous lupus erythematosus, which is characterized by skin lesions; drug-induced lupus that develops after a drug reaction; and neonatal lupus that affects newborns. Lupus signs include: fatigue, fever, weight loss/gain, joint pain/stiffness/swelling, butterfly rashes on the cheeks, skin lesions that worsen with sunlight, mouth sores, fingers and toes that turn white or blue in the cold, shortness of breath, chest pain, dry eyes, easy bruising, anxiety, depression and/or memory loss. The Lupus Foundation says there are no two cases of lupus that are exactly alike. Signs may emerge gradually or come on suddenly, and can be mild or severe. Most people have “flare-ups” or episodes. To test for lupus, your doctor will ask you some questions, run a standard physical, take urine and blood samples and perform an electrocardiogram.

Discoid lupus erythematosus (DLE) manifests itself as an inflammation, with rashes and scarring on the face, ears and scalp. The lesions may be inflamed, scaling or crusty in appearance, with the centers lighter and the rims darker. A small percentage of these patients have internal organ failure too, but usually symptoms are primarily skin-related. Cortisone ointment or injections can be helpful in treating the flare-ups. Drugs like Plaquenil, Aralen, Imiquimod, Quinacrine, Accutane or Soriatane are sometimes prescribed but should be carefully monitored for side effects.

Medicine for systemic lupus ranges from anti-inflammatories, such as iboprofen or corticosteroids to antimalerial drugs, or Retin-A and hydroxychloroquine aimed at clearing up skin manifestations. Rituximab is an intravenous antibody that suppresses “B” white blood cells that sometimes sends lupus into remission. It’s not uncommon for a lupus patient to undergo surgeries, transplants or other therapy, depending on the internal damage done. Unfortunately, there is no permanent cure for systemic lupus erythematosus. It’s important that patients get enough rest, as poor sleep quality is a major contributing factor to depression, chronic fatigue and worsening of symptoms. Dietary supplements of Omega-3 fish oils and exercise are generally recommended for all patients.