Chicago, IL
A 43-year-old female asked:
Have lupus.on plaquenil.recent labs cbc, c3, c4, bmp, &ua showed no concerns. no other tests done. does that mean my intermittent flares of debilitating fatigue & near syncope is not be from lupus? rheumatologist never addressed & said labs look good?
2 doctor answers • 2 doctors weighed in

Dr. Clarence Grimanswered
Endocrinology 59 years experience
Did you have COVID-19? Review with Dr. May be able to get COVID-19 antibody test to see unless you COVID shots. If you have not gotten them please do.
Created for people with ongoing healthcare needs but benefits everyone.
Answered Jun 04, 2022

Dr. Donald Colantinoanswered
Internal Medicine 63 years experience
Those tests aren't sufficient to explain your intermittent severe fatigue and near syncopal.episodes. I should think that a rheumatologist, who also is trained in general internal medicine would do a more complete workup other than evaluate your lupus status. Thyroid testing, vit B12 level,iron & iron binding capacity,, EKG,echocardiogram and possible neurological referral should also be done
Created for people with ongoing healthcare needs but benefits everyone.
Answered Jun 04, 2022
Last updated Jun 4, 2022
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