I'm currently being investigates for Lupus. I've been going back and to for about two years after I got a facial rash. My sister has systemic Lupus...the doctor was sure mine was Cutaneous Lupus and did a full blood check...no sign....he then said it didn't mean I DIDN'T have Lupus and wanted a biopsy.
So we did one. Got the results last week...they came back as some "fungal activity and acne like activity" the Doctor is STILL harping on about Lupus and has now referred me to a consultant dermatologist (my doc is a community derm)
I'm a bit because surely blood tests, a biopsy with CLEAR results, should be enough to rule out Lupus?
Why isn't he just treating the acne/fungal thing?
The only other slightly suspect symptom I have is some pretty full on pain in my feet which I've not mentioned as I just didn't think to. It's only been coming on for the last month or so.
I really don't want Lupus. Is there a chance I have it even though it's all come clear? Is that why he's sending me on to another doctor?
I have it! I tested ana positive & have lots of other symptoms (pain, fatigue, falling out hair, rash on skin exposed to the sun etc).
I don't know why he's sending you to another dermatologist. Mine is all dealt with through rheumatology although I did have a dermatology referral a couple of years ago due to odd skin but I was allergy tested & it was all clear so I was told it is just 'dermatitis'.
Grockle the first doctor did it...he's not sending me to see a specialist dermo and has sent him the the results which are that it's "rosacea like and with some fungal activity"...not Lupus Eurithmatosis or whatever that's called...I don't know if the specialist will do another one...he'll have the results of the first...we only got them recently.
I was looking up lupus last night and the diagnostic criteria is a very long list of symptoms of which you have to have 4 to be officially diagnosed with SLE. I can't find the web page now but I think it was on the NHS website.
However I have a different immunological neurological condition. And you mention foot pain, which is very common in immunological conditions/neurology (do you have numb feet along with the pin, that's peripheral neuropathy!).
With ongoing foot pain you might need a referral to a pain specialist (neuro pain doesn't respond to normal painkillers), a neurologist or immunologist.
I know you don't "want" it (I didn't want CIDP) but its honestly better to know so you can get the treatment available..
mrs joe I had extensive investigations (including lip biopsy) for Sjogrens, (my granny had it) and they just currently say I've not got "all the markers" for it. Though I now have a numb bit on my lip where they cut the nerves in the biopsy!
I also have diagnosed Rheumatoid Arthritis, which fits in with the immunological basis for all these diseases.
Hope you get he answers that will make your treatment effective!!
MrsJoe thanks that's what the doctor suggested it was....Discoid. I DOES look kind of like it but having yesterday looked at a photograph of my face taken before my recent course of antibiotics I see such a marked improvement in the rash it was quite shocking.
Before the anti;s it was very dark in colour and raised too...now it's faded to pink...I might take a pic along with me to show the specialist I think...
My sister lost a number of pregnancies before she was diagnosed too MrsJoe. It's a terrible disease but I have hope because she's now under control and feeling much better.