* Hands
* Wrists
* Knees
* Ankles
* Shoulders
Symptoms can resemble other rheumatologic conditions, which is one reason diagnosis can take time.
## 7. Dry Skin or Unexplained Rashes
Some people notice changes in the skin, including:
* Persistent dryness
* Itching
* Irritation
* Small red or purple spots
* Rashes
Certain skin findings can reflect inflammation of small blood vessels, although many ordinary skin conditions can look similar.
Persistent or unusual rashes should be assessed medically.
## 8. Vaginal Dryness
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