I have bald spots on my scalp in rounded areas, different areas that eventually grow back after about 3 months, but new ones appear. I've had pulmonary embolism, stroke, severe fatigue, and an abnormal lupus anticoagulant, but a normal ANA. I get a rash on my thigh that itches, is raised and comes and goes. I have severe arthritis in my knees, some finger joints, my neck and back. My right hand may turn white and cold when I use it. No one can figure out the alopecia cause. I sometimes have a butterfly shaped rash on my face. Do I have Lupus?
Your symptoms does not completely suggests of SLE. It will be better if you could do an ANA profile + anti dsDNA and antiRo serum tested.
ANA test is positive for more than 95% of SLE cases. ANA negative lupus is very rare , such patients have positive anti ds.DNA or anti Ro . If all the above are negative lupus can be ruled out. . But in many cases these tests get positive about one to two years after onset of symptoms. Hence testing has to be repeated, to confirmly rule out lupus.
DIAGNOSTIC CRITERIA FOR SLE
1.malar or discoid rash . Reddish raised patches over the cheeks.
2.photosensitivity. Exposure to uv light causes rash
3.oral and nasal ulcers
4.tenderness and swelling of two or more joints.
5.pleuritis of lung
Pericarditis of heart
6.urine protein of more than 0.5 g /dl
7.seizures or psychosis without other causes.
8.anemia.or decreased white blood cells.
9.anti.dsDNA, anti Sm, anti phospholipid
10. Abnormal ANA levels.
Such skin lesions can be called discoid lesions. they appear in about 5 to20 % of lupus patients.
they can appear as red scaly patches, severe itching, bullae.
treatment with topical application of glucocorticoics can help a lot.
in patiets with severe bl;eeding lesions i would suggest a blood platelet count. reduction in count is associated with manifestaions in some and requires high dose prednisolone therapy.A peripheral smear should also be done to rule out any haemolysis.
thank you
ANA test is positive for more than 95% of SLE cases. ANA negative lupus is very rare , such patients have positive anti ds.DNA or anti Ro . If all the above are negative lupus can be ruled out. . But in many cases these tests get positive about one to two years after onset of symptoms. Hence testing has to be repeated, to confirmly rule out lupus.
DIAGNOSTIC CRITERIA FOR SLE
1.malar or discoid rash . Reddish raised patches over the cheeks.
2.photosensitivity. Exposure to uv light causes rash
3.oral and nasal ulcers
4.tenderness and swelling of two or more joints.
5.pleuritis of lung
Pericarditis of heart
6.urine protein of more than 0.5 g /dl
7.seizures or psychosis without other causes.
8.anemia.or decreased white blood cells.
9.anti.dsDNA, anti Sm, anti phospholipid
10. Abnormal ANA levels.
Such skin lesions can be called discoid lesions. they appear in about 5 to20 % of lupus patients.
they can appear as red scaly patches, severe itching, bullae.
treatment with topical application of glucocorticoics can help a lot.
in patiets with severe bl;eeding lesions i would suggest a blood platelet count. reduction in count is associated with manifestaions in some and requires high dose prednisolone therapy.A peripheral smear should also be done to rule out any haemolysis.
thank you
my sister and mother had similr symptoms
conventional medicine had many many tests and few answers
facing possible death, they saw a chinese doctor
a year later they are so much better it seems like they are cured
so don't limit yourself to a limited type of "experts"
conventional medicine had many many tests and few answers
facing possible death, they saw a chinese doctor
a year later they are so much better it seems like they are cured
so don't limit yourself to a limited type of "experts"
I cannot say whether or not you have Lupus. You have symptoms of an autoimmune disease, and a diagnosis as specific as Lupus requires expert review. I have placed a link below to give more information. One fact is for certain: you are not a well person. Please give careful consideration as to whom would be your physician, you need an expert.
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