I was diagnosed with SLE 13 yrs ago and have always had what I feel is mild disease, no major organ involvement, still work full time etc. I am treated with hydroxychloroquine. I have had the occasional flare when my joints are really sore and I am more tired - a course of oral steroids usually helps. I had such a flare last summer but could not get off the steroids, every time I got down to 5 mg I would flare again. I was out on a really slow reducing regime and got to 2.5 mg in Jan. I was feeling well and then got struck by appendicitis last weekend and had an extremely infected appendix removed. My oral steroids were increased to 5mg and I had a day of intravenous ( I've) steroids, 25mg x 4 injections. I also had in antibiotics. I am home now and the wound has healed well, no signs of infection. I am moving well, no pain. However, I am totally exhausted- like never before. Everything is a massive effort, I also have occasional sweating episodes, my tell has only been up once. I cannot believe how tired and drained I feel. I was warned my lupus may get worse after surgery - is this it? Has anyone else experienced this?