What autoimmune diseases mimic lupus?

Here are the conditions that are most likely to mimic the symptoms of lupus and how to make sure you get the right diagnosis.
  • Rheumatoid arthritis. ...
  • Rosacea and other skin rashes. ...
  • Dermatomyositis. ...
  • Undifferentiated Connective Tissue Disease. ...
  • Hashimoto's disease. ...
  • Sjögren's syndrome. ...
  • Fibromyalgia.


What other diseases can be mistaken for lupus?

Other skin conditions that sometimes mimic the skin problems of lupus include melasma, psoriasis, eczema (atopic dermatitis), and facial seborrheic dermatitis. A dermatologist can diagnose these skin conditions. The symptoms of clinical depression can mimic lupus symptoms, and vice versa.

Can someone be misdiagnosed with lupus?

How often are people misdiagnosed with lupus? About 46 percent of lupus patients are misdiagnosed in the first years of their illness. More than half of all lupus patients are told by doctors that they aren't actually sick and that they're imagining their symptoms.


Can you have symptoms of lupus without having lupus?

While the butterfly rash (also called a malar rash or lupus rash) is one of the most commonly known symptoms people associate with lupus, it does not need to be present to be diagnosed with lupus.

How do you rule out lupus?

Your doctor will look for rashes and other signs that something is wrong. Blood and urine tests. The antinuclear antibody (ANA) test can show if your immune system is more likely to make the autoantibodies of lupus. Most people with lupus test positive for ANA.


Lupus Signs & Symptoms (& Why They Occur) | Skin, Joints, Organ Systems



When should you suspect lupus?

Virtually any symptom of illness or inflammation can signal lupus. However, some of the symptoms most closely associated with lupus include: a butterfly-shaped rash on the face. skin changes and sun sensitivity.

What is the first manifestation of lupus?

A typical sign of lupus is a red, butterfly-shaped rash over your cheeks and nose, often following exposure to sunlight. No two cases of lupus are exactly alike. Signs and symptoms may come on suddenly or develop slowly, may be mild or severe, and may be temporary or permanent.

What labs are elevated with lupus?

An examination of a sample of your urine may show an increased protein level or red blood cells in the urine, which may occur if lupus has affected your kidneys. Antinuclear antibody (ANA) test. A positive test for the presence of these antibodies — produced by your immune system — indicates a stimulated immune system.


What does it mean to be borderline lupus?

A doctor may use the phrase "borderline lupus" when symptoms or blood test results suggest lupus, but there is not enough information for a definite diagnosis.

How does a rheumatologist diagnose lupus?

If your doctor suspects you have lupus based on your symptoms, a series of blood tests will be done in order to confirm the diagnosis. The most important blood screening test is ANA. If ANA is negative, you don't have lupus. However, if ANA is positive, you might have lupus and will need more specific tests.

Can blood tests miss lupus?

It is very rare for someone to have a diagnosis of lupus that has completely negative blood tests- not just one test but a whole panel of them. You can make a diagnosis of lupus on the basis of the skin rash or certain types of kidney disease even if blood tests are negative.


Can anxiety be mistaken for lupus?

Psychological manifestations such as depression and anxiety are very common. Major depression is present in approximately 25% of lupus patients, and major anxiety in 37%. These presentations are often among the earliest symptoms to manifest in lupus.

Can CBC rule out lupus?

CBC provides information about the red blood cell (RBC), white blood cell (WBC), and platelet counts, and health of RBCs, all of which may be abnormal in lupus and may need treatment.

Why is it so hard to get a lupus diagnosis?

Lupus is a disease that is known for being difficult to diagnose because the symptoms are different from person to person, they mimic the symptoms of many other diseases, and they can come and go. It can sometimes take several years to receive an official diagnosis.


What causes a false positive lupus test?

Causes of a false-positive ANA include infection, malignancy, and certain medications. Therefore, a positive ANA test does not equal a diagnosis of lupus or any autoimmune or connective tissue disease.

Are there mild cases of lupus?

Types of lupus

Symptoms range from mild to severe, and many people will have long periods with few or no symptoms before experiencing a sudden flare-up, where their symptoms are particularly severe. Even mild cases can be distressing and have a considerable impact on a person's quality of life.

What level of ANA indicates lupus?

The initial requirement of the criteria for lupus diagnosis is a positive ANA test with a titer of at least 80. The numerical value of the titer refers to the ratio of blood serum being evaluated to a dilution agent.


What are the 11 markers for lupus?

The 11 Signs of Lupus: What You Need to Know
  • A butterfly-shaped rash across both sides of the face.
  • Raised, red skin patches.
  • Sensitivity to light.
  • Ulcers in the mouth or nose.
  • Arthritis plus swelling or tenderness in two or more joints.
  • Seizures or other nervous system problems.
  • Excessive protein in urine.


What is pre lupus?

Patients who have fewer symptoms than required to meet classification criteria are said to have “pre-lupus,” “incomplete lupus,” “evolving lupus,” forme fruste lupus (a French term that translates as “incomplete or unfinished form”), or undifferentiated connective tissue disease (UCTD).

What are the inflammatory markers for lupus?

SLE organ manifestations are inflammatory in essence. Inflammatory SLE disease activity is still mostly determined clinically. Routine laboratory markers of inflammation are limited to ESR, anemia and proteinuria. Cytokines, S100 proteins and urinary lymphocytes could qualify for future biomarkers.


What should you not do if you have lupus?

5 Things to Avoid if You Have Lupus
  1. (1) Sunlight. People with lupus should avoid the sun, since sunlight can cause rashes and flares. ...
  2. (2) Bactrim and Septra (sulfamethoxazole and trimethoprim) Bactrim and Septra are antibiotics that contain sulfamethoxazole and trimethoprim. ...
  3. (3) Garlic. ...
  4. (4) Alfalfa Sprouts. ...
  5. (5) Echinacea.


Can you have lupus with normal blood work?

Most people with lupus will have a positive ANA test result. It is very rare, but it is possible to have a negative ANA test and still have lupus.

What organ does lupus affect first?

Kidneys About one half of people with lupus experience kidney involvement, and the kidney has become the most extensively studied organ affected by lupus. Lungs About 50% of people with SLE will experience lung involvement during the course of their disease.


What is the hallmark symptom of lupus?

General signs and symptoms observed in SLE include fever, fatigue, and weight loss. The skin, musculoskeletal system, and pulmonary system are primarily affected. SLE patients who report symptoms involving the skin most commonly have a red rash on the nose and cheeks following exposure to the sun.

What triggers onset of lupus?

Scientists believe it's triggered by a combination of genetic and environmental factors, such as medications, infections and stress. They also believe that there is a link between the female hormone estrogen and lupus.