SymptomsLifetime prevalenceTreatmentPrevention and screening
Arthralgia95%Glucocorticoids, hydroxychloroquine (Plaquenil), methotrexate, nonsteroidal anti-inflammatory drugs
Fatigue90%Aerobic exercise (possibly)Minimize exertion, get adequate sleep
Cutaneous lupus70% to 80%Topical glucocorticoids, chloroquine (Aralen), hydroxychloroquineUse sunscreen and wear protective clothing
HematologicMost patients symptomsAzathioprine (Imuran), mycophenolate (Cellcept), rituximab (Rituxan); transfusion for anemia (possibly)Monitor and treat infection, especially in patients with leukopenia
Renal symptoms50%Azathioprine, cyclophosphamide, glucocorticoids, mycophenolateUrinalysis and serum creatinine test every three months
Cardiovascular symptoms28% to 40%Antihypertensive agents, cholesterol-lowering agentsTreat risk factors aggressively
Neuropsychiatric symptoms12% to 23%Glucocorticoids; anticonvulsants, antidepressants, and antipsychotics for depression and headaches; antithrombotic agents and cyclophosphamide for thrombotic symptoms and cerebritisControl aggravating factors and symptoms
Pulmonary symptoms16%Depends on type of involvement and severity; azathioprine, cyclophosphamide, glucocorticoids, mycophenolate, plasmapheresis