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A 21-year-old male asked:

Saw rheum for malar rash, joint pain, muscle pain, fatigue. he ran fbc, ena, ana, ck enzyme, complement. all normal/neg so he said no lupus. confused?

2 doctor answers3 doctors weighed in
Dr. Ronald Krauser
A Verified Doctoranswered
Rheumatology 53 years experience
See details: There should be no confusion. You don't have lupus. A malar rash is most often the result of rosacea and the generalized aching and fatigue can have numerous causes. Ask the rheumatologist if it is not lupus, what is it?
Dr. Christine Hom
Pediatrics 31 years experience
Lupus testing: The ANA test is very, very sensitive for lupus. In fact, the ANA is positive in many more people who DO NOT have lupus. If your ANA test is negative, as well as the other tests for lupus, you do not have lupus. You may wish to start with the dermatologist (who can also prove a diagnosis of lupus with a skin biopsy). Best of luck to you.
Last updated Jan 3, 2021

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