 [ Symptoms ] can lupus and a low white cell count go together  i have had lupus for many years with few symptoms recently i have experienced muscle spasms in my leg swollen glands under my left arm hoarseness in my throat and a low fever my doctor said my chest x ray is normal my sed rate is normal but my white blood cell count is low she wants me to see a hematologist are these symptoms caused by lupus [ Disease ] hi i think your doctor means that you may have bacterial infection in your intestine i recommend a stool culture to identify it good luck