Lupus Symptoms Checklist

Get closer to a diagnosis.

Our checklist allows you to easily document your symptoms to provide a more complete history to your doctor.

Step 1 of 4

Select the symptoms you have experienced below

Skin

Rash across cheeks and nose

1-1-cheek-nose-rash-symptom-since-last-doc-visit

Have you had this symptom since your last doctor visit?

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When did you first experience this symptom?

1-3-cheek-nose-rash-symptom-how-often(Required)

How often do you have this symptom?

How long do these symptoms last?

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1-5-cheek-nose-rash-symptom-how-long-last(Required)

Skin rash of raised red patches

2-1-Skin-rash-of-raised-red-patches-symptoms-since-last-doctor-visit

Have you had this symptom since your last doctor visit?

2-2-Skin-rash-of-raised-red-patches-symptoms-first-experience(Required)

When did you first experience this symptom?

2-3-Skin-rash-of-raised-red-patches-symptoms-how-often(Required)

How often do you have this symptom?

How long do these symptoms last?

2-4-how-long-does-this-symptom-of-rash-across-cheeks-and-nose-typically-last-time(Required)

2-5-how-long-does-this-symptom-of-rash-across-cheeks-and-nose-typically-last(Required)

Rash on skin exposed to sunlight

3-1-rash-on-skin-exposed-to-sunlight-since-my-last-doctor-visit

Have you had this symptom since your last doctor visit?

3-2-rash-on-skin-exposed-to-sunlight-first-experience(Required)

When did you first experience this symptom?

3-3-rash-on-skin-exposed-to-sunlight-how-often(Required)

How often do you have this symptom?

How long do these symptoms last?

3-4-how-long-does-this-symptom-of-rash-across-cheeks-and-nose-typically-last-time(Required)

3-5-how-long-does-rash-on-skin-exposed-to-sunlight-last(Required)

Sores in the mouth or nose

4-1-mouth-nose-ulcers-since-my-last-doctor-visit

Have you had this symptom since your last doctor visit?

4-2-when-did-you-first-experience-mouth-nose-ulcers(Required)

When did you first experience this symptom?

4-3-how-often-do-you-have-mouth-nose-ulcers(Required)

How often do you have this symptom?

How long do these symptoms last?

4-4-how-long-do-your-mouth-nose-ulcers-last-time(Required)

4-5how-long-do-your-mouth-nose-ulcers-last(Required)

Hair Loss

5-1-i-have-had-hair-loss-since-my-last-doctor-visit

Have you had this symptom since your last doctor visit?

5-2-when-did-you-first-experience-hair-loss(Required)

When did you first experience this symptom?

5-3-how-often-do-you-have-hair-loss(Required)

How often do you have this symptom?

How long do these symptoms last?

5-4-how-long-does-hair-loss-typically-last-time(Required)

5-5-how-long-does-hair-loss-typically-last(Required)

Select the symptoms you have experienced below

Pain and Swelling

Swollen joints

6a-1-swollen-joints-since-last-doctor-visit

Have you had this symptom since your last doctor visit?

6a-2-swollen-joints-first-experience(Required)

When did you first experience this symptom?

6a-3-swollen-joints-how-often(Required)

How often do you have this symptom?

How long do these symptoms last?

6a-4-swollen-joints-how-long-time(Required)

6a-5-swollen-joints-how-long(Required)

Stiff joints

6b-1-stiff-joints-since-last-doctor-visit

Have you had this symptom since your last doctor visit?

6b-2-stiff-joints-first-experience(Required)

When did you first experience this symptom?

6b-3-stiff-joints-how-often(Required)

How often do you have this symptom?

How long do these symptoms last?

6b-4-swollen-joints-how-long-time(Required)

6b-5-stiff-joints-how-long(Required)

Painful joints

6c-1-painful-joints-since-last-doctor-visit

Have you had this symptom since your last doctor visit?

6c-2-painful-joints-first-experience(Required)

When did you first experience this symptom?

6-3-painful-joints-how-often(Required)

How often do you have this symptom?

How long do these symptoms last?

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6c-5-painful-joints-how-long(Required)

Fingers or toes that turn white, blue, or purple often with numbness

7-1-fingers-toes-since-doctor-visit

Have you had this symptom since your last doctor visit?

7-2-when-did-you-first-experience-fingers-toes-turn-colors(Required)

When did you first experience this symptom?

7-3-how-often-fingers-toes-turn-colors(Required)

How often do you have this symptom?

How long do these symptoms last?

7-4-duration-of-fingers-toes-turning-colors-time(Required)

7-5-duration-of-fingers-toes-turning-colors(Required)

Pain in the chest with deep breath, laugh or cough

8-1-pain-in-chest-deep-breath-cough-since-doctor-visit

Have you had this symptom since your last doctor visit?

8-2-first-experience-pain-in-chest-deep-breath-cough(Required)

When did you first experience this symptom?

8-3-how-often-do-you-have-pain-in-chest-deep-breath-cough(Required)

How often do you have this symptom?

How long do these symptoms last?

8-4-duration-of-fingers-toes-turning-colors-time(Required)

8-5-how-long-does-the-pain-in-chest-deep-breath-cough-last(Required)

Sharp chest pain behind the breastbone or in the left side of the chest

9-1-chestpain-behind-breastbone-since-doc-visit

Have you had this symptom since your last doctor visit?

9-2-first-experience-sharp-chest-pain-behind-breastbone(Required)

When did you first experience this symptom?

9-3-how-often-sharp-chest-pain-behind-breastbone(Required)

How often do you have this symptom?

How long do these symptoms last?

9-4-how-long-sharp-chest-pains-last-time(Required)

9-5-how-long-sharp-chest-pains-last(Required)

Pain and tenderness in the abdomen

10-1-pain-tenderness-in-abdomen-since-doc-visit

Have you had this symptom since your last doctor visit?

10-2-first-experience-pain-tenderness-in-abdomen(Required)

When did you first experience this symptom?

10-3-how-often-pain-tenderness-in-abdomen(Required)

How often do you have this symptom?

How long do these symptoms last?

10-4-how-long-pain-tenderness-in-abdomen-last-time(Required)

10-5-how-long-pain-tenderness-in-abdomen-last(Required)

Aching muscles

11-1-aching-muscles-since-doc-visit

Have you had this symptom since your last doctor visit?

11-2-first-experience-aching-muscles(Required)

When did you first experience this symptom?

11-3-how-often-aching-muscles(Required)

How often do you have this symptom?

How long do these symptoms last?

11-4-how-long-aching-muscles-time(Required)

11-5-how-long-aching-muscles(Required)

Swelling of legs and/or feet

12-1-swelling-of-legsfeet-since-doc-visit

Have you had this symptom since your last doctor visit?

12-2-first-experience-swelling-of-legs-feet(Required)

When did you first experience this symptom?

12-3-how-often-swelling-of-legs-feet(Required)

How often do you have this symptom?

How long do these symptoms last?

12-4-how-long-swelling-of-legs-feet-time(Required)

12-5-how-long-swelling-of-legs-feet(Required)

Select the symptoms you have experienced below

Fevers

Recurrent low-grade fevers under 101° F

13-1-fevers-since-doc-visit

Have you had this symptom since your last doctor visit?

13-2-first-experience-fevers(Required)

When did you first experience this symptom?

13-3-how-often-do-you-have-fevers(Required)

How often do you have this symptom?

How long do these symptoms last?

13-4-how-long-low-grade-fevers-time(Required)

13-5-how-long-low-grade-fevers(Required)

Hidden

Section Break

Fatigue and sleep

Fatigue

16-1-fatigue-since-last-doc

Have you had this symptom since your last doctor visit?

16-2-first-experience-fatigue(Required)

When did you first experience this symptom?

16-3-how-often-fatigue(Required)

How often do you have this symptom?

How long do these symptoms last?

16-4-how-long-fatigue-time(Required)

16-5-how-long-fatigue(Required)

Neurological/Cognitive

Brain fog – lack of concentration, memory loss, headaches

17-1-brain-fog-since-last-doc

Have you had this symptom since your last doctor visit?

17-2-first-experience-brain-fog(Required)

When did you first experience this symptom?

17-3-how-often-brain-fog(Required)

How often do you have this symptom?

How long do these symptoms last?

17-4-how-long-brain-fog-time(Required)

17-5-how-long-brain-fog(Required)

Seizures

18-1-seizures-since-last-doc

Have you had this symptom since your last doctor visit?

18-2-first-experiene-seizures(Required)

When did you first experience this symptom?

18-3-how-often-seizures(Required)

How often do you have this symptom?

General

Anemia – low red blood cell count

14-1-anemia-since-doc-visit

Have you had this symptom since your last doctor visit?

14-2-first-experience-anemia(Required)

When did you first experience this symptom?

14-3-how-often-do-you-have-anemia(Required)

How often do you have this symptom?

How long do these symptoms last?

14-4-how-long-anemia-time(Required)

14-5-how-long-anemia(Required)

Dry eyes or dry mouth

19-1-dry-eyes-mouth-since-last-doc

Have you had this symptom since your last doctor visit?

19-2-first-experience-dry-eyes-mouth(Required)

When did you first experience this symptom?

19-3-how-often-dry-eyes-mouth(Required)

How often do you have this symptom?

How long do these symptoms last?

19-4-how-long-dry-eyes-dry-mouth-time(Required)

19-5-how-long-dry-eyes-dry-mouth(Required)

Bruising easily

20-1-bruising-easily-since-last-doc

Have you had this symptom since your last doctor visit?

20-2-first-experience-bruising-easily(Required)

When did you first experience this symptom?

20-3-how-often-dry-bruising-easily(Required)

How often do you have this symptom?

How long do these symptoms last?

20-4-how-long-bruising-easily-time(Required)

20-5-how-long-bruising-easily(Required)

Urine that is an abnormal color or frothy

15-1-urine-since-doc-visit

Have you had this symptom since your last doctor visit?

15-2-first-experience-urine(Required)

When did you first experience this symptom?

15-3-how-often-do-you-have-urine(Required)

How often do you have this symptom?

How long do these symptoms last?

15-4-how-long-urine-time(Required)

15-5-how-long-urine(Required)

Weight change

21-1-weight-change-since-last-doc

Have you had this symptom since your last doctor visit?

21-2-first-experience-weight(Required)

When did you first experience this symptom?

21-3-how-often-weight-change(Required)

How often do you have this symptom?

How long do these symptoms last?

21-4-how-long-weight-change-time(Required)

21-5-how-long-weight-change(Required)

Get the answers you need with AVISE^® CTD.

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Overlapping Symptoms Make Diagnosis Difficult

The AVISE CTD test is ideal for patients who:

Are experiencing lupus-like symptoms such as: skin rashes, mouth ulcers, joint swelling, hair loss, and others.
Have a positive ANA test and are concerned you may have an autoimmune disease.
Have tested negative for traditional lupus tests and have a clinical suspicion of lupus.
Have fibromyalgia or another condition and are concerned you may be developing an autoimmune rheumatic condition.

Document titled Asking Questions And Finding Answers: A Guide To Preparing For Your Appointment

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Download Guide

Lupus Symptoms Checklist

Lupus Symptoms Checklist

Get closer to a diagnosis.

Our checklist allows you to easily document your symptoms to provide a more complete history to your doctor.

Next Steps

Select the symptoms you have experienced below

Skin

Rash across cheeks and nose

Skin rash of raised red patches

Rash on skin exposed to sunlight

Sores in the mouth or nose

Hair Loss

Select the symptoms you have experienced below

Pain and Swelling

Swollen joints

Stiff joints

Painful joints

Fingers or toes that turn white, blue, or purple often with numbness

Pain in the chest with deep breath, laugh or cough

Sharp chest pain behind the breastbone or in the left side of the chest

Pain and tenderness in the abdomen

Aching muscles

Swelling of legs and/or feet

Select the symptoms you have experienced below

Fevers

Recurrent low-grade fevers under 101° F

Section Break

Fatigue and sleep

Fatigue

Neurological/Cognitive

Brain fog – lack of concentration, memory loss, headaches

Seizures

General

Anemia – low red blood cell count

Dry eyes or dry mouth

Bruising easily

Urine that is an abnormal color or frothy

Weight change

Additional Information

Get the answers you need with AVISE® CTD.

The AVISE CTD test is ideal for patients who:

Need help discussing AVISE® testing with your doctor?

Get the answers you need with AVISE^® CTD.

Need help discussing AVISE^® testing with your doctor?