Lupus is more common in women. Lupus affects people of all ages, but most commonly between the ages of 15 and 45. Different people with lupus vary according to their physical signs. Early symptoms of lupus include a number of systemic symptoms and localized skin symptoms. About 90% of people with lupus experience some degree of fatigue early on. This state of fatigue is not improved by increased sleep. Early symptoms of hypothermia can also occur, with body temperature mostly below 38.3°C, mainly as a result of the massive release of inflammatory mediators. Early lupus erythematosus mainly presents with some symptoms of localized skin, including the scalp. Hair thinning is usually one of the first symptoms of lupus. Hair loss is a result of inflammation of the scalp. Some people who have lupus will develop bulging hair as a result of this condition. Commonly, the hair slowly becomes thinner. Some people also have thinning of the beard, eyebrows, eyelashes and other body hair. Lupus causes the hair to become brittle, break easily and look a bit ragged, hence the name “lupus hair”. Another early localized skin manifestation of lupus is the formation of the classic “butterfly spots”, a butterfly-shaped rash that appears on the bridge of the nose and cheeks. About 50% of people with lupus have this rash. It may occur suddenly or after exposure to sunlight. Sometimes the rash appears before a sudden flare-up. This is what gives lupus its name. Early symptoms of the disease lupus erythematosus are some of the systemic symptoms common to inflammatory diseases and symptoms of hair loss and characteristic rash due to skin inflammation.