When fatigue sets in...
I have to say that I've been blessed with good health for a while now and I overdid it..spending 10-12 hours outdoors everyday between classes, work and community service..
I ended up in hospital for 3 days after my temperature reached 40.6 degrees and it took the doctors 8 hours to bring it down to 39.8.. Anyway I was diagnosed with gastroenteritis (I had a eaten a sandwich from outside on the same day) and discharged after making sure it wasn't the lupus and the test for CMV (cytomegalo virus) came negative.
Since I left (yesterday) I feel unwell and can only eat a little. I am also trying to avoid any human contact as I am not in the mood to speak to anybody--not very new to me but annoying everyone around me.
Can this fatigue and loss of appetite I'm experiencing be a signal of an upcoming flare? After all infections trigger lupus.
As far as my labs are concerned, C3 is okay, C4 slightly low, and we're awaiting anti-ANA and anti-dsDNA results. My nephrologist is worried because my albumin level is 2.0 (normal starts at 3.5). Actually, a month ago, albumin was at 2.5. Could this be the start of a flare? I always thought C3 and C4 were the major markers of lupus activity.
I was diagnosed with lupus nephritis, confirmed by bloodwork and kidney biopsy, and mild lupus cerebritis (epileptiform) in June 2004.
Medications: CellCept, Prednisone; Phenytoin; Lipitor; Zestril, Norvasc; Aranesp (darbepoetin alfa).