Complicated: Not clear why a pt who has established MS would develop lupus, as more likely she has a biologically false positive ANA titer, which can occur from some medications and even infection (syphiiis). But if she has both, treatment becomes very complex, as some rheumatological agents can worsen the MS (those that block tumor necrosis factor alpha). Unlikely to kill her, but may affect quality of life
Answered 11/1/2014
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