12 Subtle lupus symptoms that are easy to miss – youtube sores in your mouth

If lupus has a calling card, it’s a sunburn-like rash that stretches across the nose and cheeks, in a shape resembling a butterfly. Its unique appearance is “highly suggestive” of lupus, Dr. Goldfien says. About 30 percent of patients with lupus get this rash, researchers say.

Fever can be a sign of inflammation, and some patients may be feverish during a lupus flareup. While having a fever isn’t unique to lupus, if you have a fever that you just can’t shake or it keeps returning, it’s best to see a doctor—especially if you’ve noticed any of the other signs of the disease.

Very often, people with lupus are photosensitive, meaning their skin is very sensitive to ultraviolet light. Breakouts typically occur on sun-exposed areas of the body, including the face, neckline, and arms. UV light exposure can also set off lupus symptoms or trigger a flare-up of the disease.


Sometimes lupus is mistaken for rheumatoid arthritis (RA) because both diseases can cause joint pain and stiffness, often in the hands, wrists, and ankles. Joints symptoms are the main feature of RA but one of many, many signs of lupus, Dr. Manzi says.

As many as a third of people with lupus experience Raynaud’s, a syndrome that affects the blood vessels, the National Resource Center on Lupus says. When you have Raynaud’s, the vessels that supply blood to your skin narrow, limiting blood circulation, especially when you’re cold or under stress. You’ll may have Raynaud’s if your fingers or toes (or both) go numb and turn blue or white.

Fatigue isn’t specific to lupus but may provide another clue if someone has other lupus symptoms. “In a rheumatologist’s mind, that’s just one more confirmation that there’s inflammation going on,” Dr. Goldfien says. (Here are six other reasons you may be tired all the time.)

If it hurts to cough or breathe deeply, it could be pleurisy—inflammation of the lining of the lungs. It’s a common symptom of lupus. “If you cough and the lung tissue gets pushed out against the lining, it hurts because it’s inflamed,” Dr. Goldfien explains. “It tends to be a sharp pain.”

“When I see someone who I think might have lupus, I ask them if they get sores in their mouth,” Dr. Goldfien says. Ulcers, like canker sores, on the roof of the mouth or tongue or even the nose, can last a few days to a month or more, according to the American College of Rheumatology.

“People will notice little red blood spots on their legs because their blood vessels are leaking blood,” she says. They may also get nosebleeds or be bleeding from their gums when they brush their teeth. It suggests that “the platelets may be under attack,” Dr. Manzi says.

It’s not all in your head: lupus can attack the brain and nervous system. Up to 50 percent of people with lupus report problems with memory, concentration, and other cognitive issues dubbed “lupus fog,” says the National Resource Center on Lupus. People with lupus may be twice as likely to develop migraine-like headaches due to inflammation of the blood vessels. And when lupus attacks the nerves, they can experience numbness or tingling in the motor and sensory nerves.