I was officially given the DX by the first rheumy I saw, but my nephrologist strongly suspected it for years. My first symptom was lots of fluid retention, followed by fatigue, joint pain, mouth sores, brain fog, nausea, etc...
DX: Kidney Disease, (? Lupus Nephritis) 2002
DX: Raynaud's Phenomenon and Lupus (SLE & Class V Lupus Nephritis) 2005
DX: Anorexia and Hypokalemia 2006
meds: plaquenil, amiloride, klor-con