my 19 year old daughter is a collegiate soccer player. Currently, the team has been weight training, practicing, etc. Recently, she has complained of redness and blistering on the back of her hands, and today also complained of pain under her thumbnails, so much so that she has difficulty putting on tennis shoes. Her paternal grandmother died of systemic lupus.. Other than the problem with her hands, she does not have any other symptoms, i.e., the butterfly mask on her face, extreme fatigue, etc.