Lupus presents itself in various ways. The onset is usually gradual, with the development of vague feelings of illness until some specific symptoms of Lupus appear.

The signs of Lupus differ from one person to another. Some people have just a few signs and symptoms; others have more. The most common symptoms are:

	Painful or swollen joints				Muscle aches
	Prolonged or extreme fatigue				Skin rashes
	Low blood count				Persistent low-grade fever
	Pain in the chest while deep breathing				Red rash or color change on the face, often in the shape of a butterfly across the bridge of the nose and cheeks
	Photosensitivity (sun or light sensitivity)				Unusual loss of hair
	Pale or purple fingers/toes from cold or stress				Mouth or nose ulcers
	Organ problems				Miscarriages

It is important to note that these symptoms are similar to those of other acute or chronic illnesses. Other complications that may be present due to Lupus are:

	Neurological complications				Psychological complications
	Eye problems				Blood problems
	Bone loss				Teeth and gum problems
	Gastrointestinal complications				Cardiopulmonary complications
	Renal complications				Complications with pregnancy
	Infections				Nutritional problems

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Psychological Aspects of Lupus
Lupus is a chronic disease that defies easy description. A diagnosis may not be made for a long time, as it can be a difficult disease to diagnose. Diagnostic difficulties coupled with the serious, chronic nature of the disease present the person with Lupus, the family and medical team with many challenges. For people with Lupus, psychological issues can be a major part of living with this illness provide excellent comprehensive care of people affected by Lupus, health professionals need to be aware of the psychological ramifications of a condition such as Lupus. Because Lupus is a chronic disease of flares and remissions, each exacerbation of the disease can raise new issues for people with Lupus.

To meet the emotional challenges of living with Lupus:

	Get enough sleep				Plan for additional rest periods throughout the day, as needed
	A well-designed exercise program is important to maintaining strength, endurance, and overall fitness. Getting enough rest does not mean cutting out all activity				Every week, make a simple plan of your work and activities. The plan can help you organize the events of your life and ensure that you have a good balance of rest and activity
	Each day, review your plan and decide if you are physically up to the activities for that day. Be flexible; if you don't have the strength to do an activity today, do it another time.				Don't try to complete a large task or project all at one time; divide it into several steps. Eat a well-balanced diet.
	Dealing with stressful issues and problems takes a lot of energy. If you feel stressed, talk to your doctor or nurse. They may be able to provide you with help for your problem or direct you to someone else who can.
To receive a pamphlet on living well with Lupus and other psychological aspects call the Lupus Foundation of Colorado at 303.333.2300 or tollfree 1.800.858.1292. Support is also available through the foundation.

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Preventing a Lupus Flare
Sometimes, despite the treatment plan and your efforts, you may experience a Lupus flare. A flare is a worsening of symptoms that signals increased disease activity. A variety of factors can cause a flare, and you should contact your doctor immediately if you suspect a flare is developing.

Warning Signs of a Flare:

	Increased fatigue				A new or higher fever
	Increased pain				Development or worsening of a rash
	Upset stomach				Headache or dizziness
Development of symptoms you haven't had before

What Triggers a Flare
A flare can be triggered by one factor or a combination of factors. The most common are:

	Overwork or not enough rest				Stress or an emotional crisis
	Exposure to sunlight or other sources of ultraviolet light				Infection
	Injuries or surgery				Pregnancy or the time right after delivery
	Sudden stoppage of medications for Lupus				Sensitivities or allergies to items that you put on your skin, such as hair dye, hair permanent solution, makeup and skin creams
	Certain prescription drugs				Over the counter medications such as cough syrup or laxatives and immunizations

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