That's something I've always been intrigued with. Everytime I get a flare up someone asks what strted it. And usually I have an answer but whether or not the answer is indeed correct or just based on my 'sensation' I cannot tell.
We all now the 'typical' triggers such as UV, stress, hormonal changes etc. It's the cellular damage that activates our immune systems and the reasons that can happen are plenty. But have you actually been able to single out one trigger that is present everytime you have a flare up?
I think I now what triggered my first lupus flare. I was 20 years old or so, just arrived in UK. I went to see my GP for the first time and she said that she didn't have any records of my previous vaccinations. Since I'm from EU it was not that much of a problem but she suggested that I should have MMR done since measles was a bit of a problem at that time and I was at uni so the perfect grounds for disease spread. So I got MMR and a few weeks later I got my first lupus arthritis. Incidently MMR can cause reactive arthritis in some patients so the doctor was not that concerned. I got naproxen and was told to wait. And since then everything got worse... but that's another story.
So MMR for me. I thin sun is a major one for me too, and physical exersion and definitely infections. Sadly since I gave birth to my daughter the last two are always an issue so my lupus is getting wrose and worse.
So what do you think, that are your triggers?