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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.

I am diagnosed with SLE. I took Cellcept from June 2025 through September 2025, and auto injected myself with Benlysta from September through April 2026. , It did not work because I found out I have a lesion in one of lungs. I received two Rituxan infusions which is really for cancer and not approved for Lupus, however in trials it worked for some patients. None of these treatments has worked to help with swollen joints and the pain.

June 23
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MyLupusTeam

It's genuinely frustrating to have your blood work looking relatively normal while your joints are still swollen and painful. Normal complement and anti-dsDNA levels are encouraging signs, but they don't always tell the full story — lupus joint pain can persist even when those markers are stable.

Here's why joint symptoms Show Full Answer

It's genuinely frustrating to have your blood work looking relatively normal while your joints are still swollen and painful. Normal complement and anti-dsDNA levels are encouraging signs, but they don't always tell the full story — lupus joint pain can persist even when those markers are stable.

Here's why joint symptoms can continue despite normal labs:

- Lupus arthritis can be driven by localized inflammation in the joints that doesn't always show up in standard blood markers
- Some joint damage or inflammation can become somewhat independent of overall disease activity over time
- Medications like Benlysta and Rituxan can take time to work, and responses vary significantly from person to person Given the complex treatment journey already experienced, it may be worth discussing these specific options with a rheumatologist:

- NSAIDs like ibuprofen or naproxen for targeted joint pain and inflammation
- Hydroxychloroquine (Plaquenil) — an antimalarial that can be effective for lupus arthritis, though it takes several months to show results
- Short-term corticosteroids like prednisone to help manage flares
- Physical therapy — gentle, low-impact movement can actually reduce joint stiffness over time when disease activity is lower

It's also worth noting that Rituxan, while not FDA-approved for lupus, is used off-label and does help some patients — so it may still be part of future conversations with a doctor.

The key takeaway is that finding the right combination often takes time and patience, and a rheumatologist can help reassess and adjust the treatment plan.

June 23
A MyLupusTeam Member

I just had a full list of blood work done, I haven't had ANA done in 3 years. I had some issues from March labs so I talked to my doctor for more blood work, ANA, Thyroid and others. I have a never ending flair for a month so I have mu results. Lupus antibodies are up parathyroid dropped more in 10 days, calcium is up. Now I'm waiting to see a endocrinologist, But I'm still dealing with joint pain,stiffness and the flair could be aggravating my osteoarthritis and I have severe osteoporosis. Steroids are not a option for me because of the other health issues I have, I had steroid shots years avo for SI joint pain. It didn't work except I put on 35lbs and that made things worse.Praying everyday to get through each day and trying to keep positive. God Bless

June 23

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