It's good to see you posting again. Headaches in lupus can be complicated because they can be caused by different things, including some of the medications precribed for lupus. In addition to pain, often on one side of the head, a migraine headache can cause visual disturbances, nausea, vomiting, sensitivity to light and sound, and even temporary stroke like symptoms. A lupus migraine can last for days and sometimes doesn't respond to anything except steroids. Fatigue, lack of sleep, stress, and fibromyalgia can all cause tension-type headaches. It is important to let your doctor know about any headaches you develop, as headaches are sometimes a symptom of CNS lupus. Lupus can also cause inflammation of the blood vessels - which can present as pain in your temple, or a pulsing, throbbing pain. Dental problems can also cause headache. With so many things going on, it's easy to shrug off new symptoms as just part of lupus, but you should always let your doctor know about any changes in your symptoms as soon as you can.