I am 29 years old and have just found out that I have SLE. I have a horrible rash all over my body that ITCHES! I have the fatigue, chest pains, blood in urine and occasional swollen joints. Is it normal to have all of this at once? How can doctors tell how far advanced your lupus is? Everyone that I have talked to only knows people who have died from Lupus, not living and doing well with it. Not very encouraging! I have 3 small children and I view this disease as a pesky nuisance. Anyone have any good advice?