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Lupus (Systemic Lupus Erythematosus, or SLE) impacts about 1.4 million patients in the United States. It is an autoimmune disorder. About 90 percent of the sufferers have muscle and joint pain. About 35 percent of SLE patients have lupus arthritis.
Effects of Lupus Arthritis
It causes swelling and pain in the joints, which may combine with warmth and tenderness. Morning stiffness is common with lupus arthritis. The joints may also collect fluid, causing pressure and more swelling. Though the effects are uncomfortable, it may not result in permanent deformity.
Features of Lupus Arthritis
Lupus arthritis never affects the spine and neck. The common affected areas include toes, feet, ankles, knees, elbows, wrists, hands and fingers. The pattern of impact is symmetrical as joints on both sides of the body are affected.
Patients with lupus might also suffer from tendinitis, bursitis, bone necrosis, fibromyalgia and rheumatoid arthritis. Therefore, it is essential to diagnose what exactly is causing joint pain for effective treatment, as lupus arthritis may not be the main cause of joint pain in lupus patients.
Diagnosis of Lupus Arthritis
It is difficult to diagnose as most tests for this condition would show positive for any lupus patient. X-rays are usually normal and joint fluid tests would indicate just slight inflammation. The best diagnosis can be done by physical examination and by going through the history of symptoms.
Treatment for Lupus Arthritis
The same medications for treating lupus are used. A combination of NSAIDs, anti-malarials and corticosteroids is usually prescribed. Low-impact exercise such as water aerobics and swimming and physical therapy are recommended.
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