What does mild swelling look like with barely to no pitting I have lupus and severe pain fevers and butterfly rash fatigue;lupus flare?

Pitting not arthriti. Pitting is not arthritis but occurs with edema and fluid collection. This could be a lupus flare but depending on you medication, labooratory studies we can make a better diagnosis. Ask your rheumatologist to clarify the disease activity of you SLE.

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I have SLE of nephritis, fatigue, severe joint pain butterfly rash, cough, fever, mild swelling, had blood in pee one day could it be kidney damage, flare?

Could be. SLE is a multi-system disease which can effect multiple organ systems. You mentioned that he already had an SLE nephritis. That could cause the hematuria. Have him see his doc soon. Read more...