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Real members of MyLupusTeam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.
A MyLupusTeam Member asked a question 💭
April 17
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A MyLupusTeam Member

Yes, it's possible it's related to lupus-related kidney, heart, or liver complications, but it may be something as simple as varicose or inefficient veins with pooling of fluid in the legs. Joint inflammation can cause it, but you would notice pain.

Please see your doctor to determine the cause, Tammy. If you see frothy urine, it could be a sign of lupus nephritis.

April 18
MyLupusTeam

Can lupus cause swelling in your ankles and legs?

Yes, lupus can cause swelling in your ankles and legs through several mechanisms.

Lupus itself can directly cause edema (swelling) in the feet, ankles, and hands due to inflammation and tissue damage. This swelling can be a sign of a lupus flare, as inflammation affects Show Full Answer

Can lupus cause swelling in your ankles and legs?

Yes, lupus can cause swelling in your ankles and legs through several mechanisms.

Lupus itself can directly cause edema (swelling) in the feet, ankles, and hands due to inflammation and tissue damage. This swelling can be a sign of a lupus flare, as inflammation affects different parts of your body.

Additionally, swelling in the legs and ankles can be a symptom of lupus nephritis, a kidney complication that affects about 50 percent of people with lupus. When lupus damages the kidneys, it leads to poor kidney function and fluid retention, which commonly shows up as swelling in the lower legs and ankles.

People with lupus also have a higher risk of deep vein thrombosis (DVT) - blood clots in the legs - which can cause swelling, pain, warmth, or discoloration in the affected leg. This risk is more than 6.5 times higher compared to people without lupus.

When to seek medical attention:

Contact your doctor if you experience:
- Sudden swelling, especially in one leg only
- Painful swelling
- Swelling accompanied by shortness of breath, chest pain, dizziness, or fainting
- A leg that appears pale and feels cold

Your healthcare provider can determine whether the swelling is from lupus activity, kidney involvement, or another cause, and recommend appropriate treatment.

April 17

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