A family history of psoriatic arthritis may be present. Signs and symptoms are similar to those in adults. SLE is an episodic disease with a history of symptoms that come and go. Sun protection may be important for children with lupus. The child's physician may recommend sun protective lotions or sun protective clothing to provide protection so that children may participate in outdoor daytime activities.
Many children have some form of renal disease.
Central nervous system involvement and cognitive disturbance may be subtle. Pleuritic chest pain is one of the most common symptoms among children. This syndrome consists of a rash, arthritis, abdominal pain and renal dysfunction. Signs and symptoms may occur for several days or weeks. The rash progresses from red to purple to brown and most commonly is located on the buttocks and lower extremities.