What is a lupus flare and how do I recognize one?
At times lupus patients may have periods with few to no symptoms, commonly called remissions. Some physicians are uncomfortable with the term “remission” as lupus symptoms rarely disappear completely. They may, instead, choose to use the term “quiescence” (pronounced: kwee-ess-ence.) At other times the patient may have unpredictable and debilitating bouts with symptoms of the disease. These are known as flares. Flares can be classified as mild, moderate, or severe. A mild flare could be signaled by a lupus rash, and severe flares could potential cause fluid buildup around the heart or even kidney failure, requiring immediate medical attention. So how is a lupus flare recognized? Most lupus patients will have symptoms of muscle and joint pain as well as fatigue regularly, so what makes a flare different? Here are some warning signs of a pending lupus flare:
*It is important to report any of these with your medical caregiver as soon as possible so that they can quickly assess and treat any symptoms that could signal a flare. Keeping a daily symptom journal can be a helpful tool.
What can trigger a lupus flare?
Lupus is an auto-immune disease. This means that the immune system, when activated, creates auto-antibodies that attack not only an invading virus, but will turn and continue to attack healthy cells and organs, thus causing inflammation. Therefore, anything that stimulates activity in the immune system can cause a lupus flare. Here is a list of potential flare triggers:
*Plaquenil (hydroxychloroquine) has been shown to prevent lupus flares, so stopping a prescribed medication like Plaquenil could feasibly cause a flare. Again, please speak clearly and often with your medical caregiver about any and all medication decisions. Ask as many questions as you need to make sure you feel comfortable and have a clear understanding of what you are taking and why.
Be sure to make any new caregiver aware that you have lupus before they prescribe any medications. This is also relevant advice when considering receiving any immunizations.
Can anything prevent a lupus flare?
Your physician has probably created a specific plan of treatment that was created specifically for you and your lupus symptoms. The most important thing is for you to completely understand this plan and the steps needed to keep your disease under control and avoid a lupus flare. Your plan may include some or all of the following:
- Physical and emotional rest
- Aggressive treatment of infections
- Good nutrition
- Avoidance of direct sunlight and other sources of ultraviolet light, see our blog on photosensitivity.
- Watch for stress. Having a chronic illness can understandably cause anxiety and depression which can lead to stress. Finding ways to manage stress is very important.
- Take your prescribed medications as indicated by your physician
Sometimes, despite you and your medical caregiver’s best attempts, you may still experience a lupus flare. If you suspect that you are having a flare, please contact your physician immediately so that any adjustments to your treatment plan and medications can be made.
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*All resources provided by Molly’s Fund are for informational purposes only and should be used as a guide or for supplemental information, not to replace the advice of a medical professional. The personal views do not necessarily encompass the views of the organization, but the information has been vetted as a relevant resource. We encourage you to be your strongest advocate and always contact your medical provider with any specific questions or concerns.