A member asked:

Severe joint pain nausea nose sores mouth sores malaise for 9 months now hair falling out in clumps. ana pos but sm and dna neg. my rheum dk why help?

A doctor has provided 1 answer
Dr. Apostolos Kontzias answered

Specializes in Rheumatology

Possible lupus: Your symptoms do sound rheumatologic in nature more specifically systemic lupus erythematosus. Unclear about the nausea but rest may be related to lupus. You do not necessarily need to have positive Sm or DNA antibodies.

Answered 9/19/2017

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