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Condition guide · Rheumatology

Lupus (SLE)

An autoimmune condition where the body's defences turn on its own tissues — what lupus is, the signs to watch for, and how a consultant rheumatologist can help.

Lupus (SLE) assessment at Bridge House Clinic
What is lupus (sle)?

Lupus, or systemic lupus erythematosus (SLE), is a long-term autoimmune disease. The immune system mistakenly attacks healthy tissue, causing inflammation.

That inflammation can affect the joints, skin, kidneys, blood and other organs. It tends to follow a pattern of flares, when symptoms worsen, and quieter spells in between. Lupus varies enormously from one person to the next — many people stay well with the right treatment, and the aim of care is to calm the immune system, settle flares and protect the organs over the long term.

01Symptoms

Symptoms of lupus (sle).

Lupus is often called a great imitator — its symptoms come and go, vary widely between people, and can be mistaken for other conditions, which is why a flare can take time to pin down.

01Overwhelming fatigueA deep, persistent tiredness that rest doesn't fully relieve — one of the most common and disruptive features of lupus.
02Painful, swollen jointsAching and stiffness, often in the hands, wrists and knees, and frequently worse in the morning.
03A butterfly-shaped facial rashA red rash spreading across the cheeks and bridge of the nose, classically brought on or worsened by sunlight.
04Sensitivity to sunlightSkin rashes or a general flare of symptoms triggered by exposure to the sun or other UV light.
05Mouth ulcers and hair thinningRecurrent painless ulcers inside the mouth or nose, and hair that thins or sheds during a flare.
06Raynaud's and cold-sensitive fingersFingers and toes that turn white or blue in the cold, reflecting how lupus can affect the circulation.
Sound familiar?Book an assessment with a consultant and get a clear picture — usually the same or next week.
02Causes & risk factors

Why it happens.

Lupus develops when the immune system loses its tolerance and starts to attack the body's own tissues. There's no single cause — it's thought to arise from a combination of factors, with certain things known to raise the risk or set off a flare.

Far more common in women, especially of childbearing age
A family history of lupus or other autoimmune disease
More frequent and often more severe in people of African, Caribbean, Asian or Hispanic heritage
Sunlight and UV exposure triggering or worsening flares
Hormonal changes, including around pregnancy
Certain medicines and viral infections acting as triggers
03When to get it checked

Don't wait for it to settle.

Early assessment helps you get the right treatment sooner. See a specialist if:

I.Unexplained fatigue with joint pain and a rashThis combination, especially with a facial rash brought on by the sun, warrants assessment to look for lupus or a related condition.
II.Symptoms that flare and settle over weeks or monthsA pattern of relapsing aches, rashes, fevers or ulcers that come and go is worth investigating rather than dismissing.
III.Swelling around the ankles or frothy urineThese can point to the kidneys being involved, which needs prompt review as lupus can affect kidney function.
IV.Chest pain, breathlessness or a fast heartbeatInflammation of the lining around the heart or lungs needs urgent medical attention — seek same-day care.
V.New confusion, severe headaches or seizuresSymptoms suggesting the brain or nervous system may be involved are an emergency and should be treated as such.
Book an assessment
Lupus (SLE) examination by a consultant
Diagnosing lupus (sle) at Bridge House Clinic
04How it's diagnosed

Diagnosed by examination and blood tests.

There's no single test for lupus. Dr Subhra Raghuvanshi, Consultant Rheumatologist, will take a careful history, examine you, and arrange blood tests — including antibody tests such as ANA and anti-dsDNA, inflammatory markers, blood counts and kidney function — to build the picture. Urine tests and, where needed, imaging help show whether organs are involved. Because lupus can evolve, diagnosis is sometimes confirmed over more than one visit.

05Treatment

How lupus (sle) is treated.

Lupus can't be cured, but it can be controlled. Treatment is tailored to which parts of the body are affected, with the aim of settling flares and protecting your organs over time.

01Consultant rheumatology assessment

A thorough appointment with Dr Raghuvanshi to review your symptoms, arrange the right blood and urine tests, and reach a clear diagnosis and plan.

02Medical management

Ongoing treatment to calm the immune system and control flares — this may involve anti-inflammatories, hydroxychloroquine, steroids or immune-modulating medicines, chosen and monitored to suit your condition.

03Joint injection for an inflamed joint

Where lupus is causing a single painful, swollen joint, a targeted steroid injection can ease inflammation directly. Your consultant will advise whether it's appropriate.

04Lifestyle and flare prevention

Practical support around sun protection, pacing, and monitoring — alongside medical treatment — to reduce how often flares occur.

See rheumatology assessment & treatment optionsConsultant-led diagnosis and ongoing management from Dr Subhra Raghuvanshi, with every fee published upfront.
Why Bridge House
I.
Same or next-week appointments

Seen in days — not months on a list.

II.
Consultant-led care

A named specialist, not a junior — all the way through.

III.
Transparent, fixed pricing

Every price published and confirmed in writing.

IV.
No NHS waiting list

Seen privately, without the wait.

V.
Private insurance accepted

We bill major UK insurers directly.

07FAQ

Common questions.

Can't find your answer? Call us — a real person picks up.

01244 982032
Can I see a consultant rheumatologist about lupus without going through my GP first? +

You're welcome to book directly with Dr Subhra Raghuvanshi at Bridge House Clinic — a GP letter isn't required to arrange your appointment. That said, lupus involves several organs, so it's helpful to bring any relevant records or previous blood results, and we'll happily liaise with your GP about ongoing care.

What does it cost to be assessed for lupus here? +

An initial rheumatology consultation with Dr Raghuvanshi is £220. If a single inflamed joint needs a steroid injection, that starts from £350 for a small joint and from £450 for a larger one. Blood and urine tests to confirm a lupus diagnosis are arranged separately, and we'll explain any costs clearly before going ahead.

Is lupus something that can be cured? +

Lupus is a long-term condition rather than one that's cured, but with the right treatment most people control it well and lead full lives. The focus of care is calming the immune system, settling flares quickly and protecting the kidneys, heart and other organs over time.

How will the clinic work out whether I actually have lupus? +

Lupus isn't diagnosed by one result — Dr Raghuvanshi combines your symptoms, an examination and a panel of blood tests, including antibody tests such as ANA and anti-dsDNA, with urine checks for kidney involvement. Because lupus can develop gradually, the picture is sometimes confirmed across more than one appointment.

Can a flare be a medical emergency? +

It can. Most flares are managed with adjustments to your treatment, but warning signs such as chest pain, breathlessness, swelling pointing to kidney involvement, or new confusion or seizures need urgent care — go to A&E or call 999 rather than waiting for a routine appointment.

Take the first step

Don't put up with it.

Book an assessment with a consultant and get a clear picture — and a plan.