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Lupus and Fever

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Fever is often a part of lupus. For some people with lupus, an

intermittent

(coming and going) or continuous low-grade fever may be normal. Other

people,

especially those on large doses of aspirin, nonsteroidal

anti-inflammatory

drugs (NSAIDs), or corticosteroids, may not have fever at all because

these

drugs may mask a fever.

If you have lupus, you may be more vulnerable to certain infections

than are other people without lupus. In addition, you may be more prone

to infection if you are taking any immunosuppressive drugs for your

lupus.

Be alert to a temperature that is new or higher than normal for you,

because

it could be a sign of a developing infection or a lupus flare.

The body's temperature routine is a gradual rise during the day with

a peak around four to five o'clock. Chart your temperature for a week.

Take your temperature before rising in the morning, around lunch time,

around 5 pm, and then again before going to bed. By charting your

results

you will see a pattern that is normal for YOU.

Caring For Yourself

Take your temperature at least once a day (or more often if

needed) to

determine what a “normal” temperature is for you.

Take your temperature and watch for a fever any time you feel

chills or

do not feel well.

Call your doctor immediately if you have a new or

higher-than-normal temperature.

Even if you don't have a fever, don't hesitate to call your

doctor if you

do not feel well in any way, particularly if you are taking aspirin,

NSAIDs,

or a corticosteroid. Signs of infection other than a fever include

unusual

pain, cramping or swelling, a headache with neck stiffness, cold or flu

symptoms, trouble breathing, nausea, vomiting, diarrhea, or changes in

urine or stool.

Talk to your doctor about immunization against pneumococcal

pneumonia and

the flu.

Practice good personal hygiene. Carry alcohol wipes when you go

shopping

to wipe down grocery cart handles or bathroom facility handles.

Avoid large crowds and people who are sick. Remember, with Lupus,

you are

more vulnerable to cold and flu germs.

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