What are the symptoms of systemic lupus erythematosus?

Dec 10, 2024 Source: Cainiu Health
Disease description:

I suddenly noticed large red patches on my body, along with flaking skin. I read online that it might be systemic lupus erythematosus. Could you please tell me what the symptoms of systemic lupus erythematosus are?

Doctor's answer (1)
Dr. Yang Tiesheng

Systemic lupus erythematosus (SLE) is a chronic autoimmune disease with diverse symptoms that involve multiple organ systems. Typical manifestations include:

1. Cutaneous symptoms: A butterfly-shaped erythematous rash commonly appears on the face, presenting as bright red or purplish red with clear margins; polymorphic lesions such as red papules and maculopapular rashes may also develop on other parts of the body; photosensitivity and oral ulcers are also frequently observed.

2. Musculoskeletal symptoms: Symmetrical polyarthritis with joint pain and swelling, typically without causing bone destruction; muscle pain and weakness are also common.

3. Renal involvement: Approximately 80% of patients develop kidney disease, presenting as nephritis or nephrotic syndrome; severe cases may lead to renal failure.

4. Hematologic abnormalities: Anemia, leukopenia, thrombocytopenia, and other hematologic abnormalities are commonly seen in patients with SLE.

5. Cardiopulmonary involvement: Cardiac and pulmonary conditions such as pericarditis, pleuritis, and interstitial pneumonia may also occur in SLE.

6. Neuropsychiatric symptoms: These may include headache, epileptic seizures, and psychiatric or behavioral abnormalities, which can be life-threatening in severe cases.

7. Others: The gastrointestinal tract, eyes, endocrine system, and others may also be affected.

If you have any concerns, please consult a relevant physician.