What are symptoms of lupus in a child? Can you have lupus without the butterfly rash?

Lupus. The most common symptoms of lupus, which are the same for females and males, are: extreme fatigue (tiredness), headaches, painful or swollen joints, fever, anemia (low numbers of red blood cells or hemoglobin, or low total blood volume), swelling (edema) in feet, legs, hands, and/or around eyes, pain in chest on deep breathing (pleurisy). Butterfly-shaped rash across cheeks and nose, others.
Yes. There are many types of lupus and lupus will present differently in each individual. Symptoms tend to be more severe in children. A butterfly rash is not necessary for diagnosis. Common symptoms can include, fever, fatigue, joint pain, skin lesions that worsen in sun, fingers turn blue in cold, shortness of breath, chest pain, etc... Many potential symptoms .
Yes. Systemic lupus erythematosis (sle) can present in many ways. The classic butterfly rash is just one of the manifestations of this multisystem disease. It can affect any organ. Arthritis, skin disease, anemia and kidney disease are some common findings. Please review this with your or your childs physician.