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Extract from the LUPUS UK web site at:

Diagnosis

Diagnosis Image

Lupus is a type of self-allergy, a disease of many manifestations and each patients profile or list of symptoms may be different. The specialist may need to investigate any of:

  • Skin
  • Blood
  • Fatigue
  • Joints
  • Heart
  • Fever
  • Kidneys
  • Lungs
  • Brain
  • Swollen glands
  • Nervous system
  • Weight changes

Several manifestations such as those listed below may suggest clinical evidence of a multi-symptom disease:

SKIN Rashes, Mouth Ulcers, Hair loss
JOINTS Pain, redness, swelling
KIDNEYS Abnormal Urinanalysis
LINING MEMBRANES Pleurisy, Pericarditis, Peritonitis
BLOOD Haemolytic Anaemia, Leukopenia
LUNGS Shortness of breath, cough
NERVOUS SYSTEM Convulsions, psychosis

 

In arriving at a firm diagnosis the physician will normally expect at least four of a list of 11 internationally accepted conditions to be present (either currently or at any time since the onset of the illness). These conditions include one or more blood tests, and the patients/family medical history will also be taken into account.

Diagnosis of lupus is never straightforward, the real cause is still far from clear and the symptoms can vary widely from day to day in any one patient.

Diagnosis is usually achieved through a rheumatologist but other specialists may also be involved, eg dermatologists, kidney specialists, cardiologists, obstetricians.