Exhaustion is not only a symptom of lupus—it can also trigger secondary flares. “Exhaustion can cause aberrant immune responses and sometimes can precipitate flares of autoimmune disease, including systemic lupus,” says Dr. Koumpouras.
For this reason, he stresses, “it is very important for patients with systemic lupus to get enough sleep to help control the symptoms of fatigue and to avoid flares.”
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