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A member 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 doctors weighed in across 2 answers
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.
Answered 6/4/2022
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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
Answered 6/4/2022
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Related Questions
A member asked:
Have lupus. Have had fatigue, malaise, aches x 1 week. UA showed +2-5 RBC, trace protein,trace ketones. Otherwise normal UA. Normal CBC & CMP. Causes?
A doctor has provided 1 answer
A member asked:
Bad fatigue interfering with life for 3 weeks.Have lupus but recent labs& CBC were stable showing no flare.I'm normally very active.Frustrated.Causes?
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A member asked:
How often at minimal should lupus patient doing well with no issues & only on plaquenil (hydroxychloroquine) see their rheumatologist or atleast get labs?
A doctor has provided 1 answer
A member asked:
How is active lupus or flare treated if not with prednisone if already on Plaquenil? My rheumatologist only prescribes steroids for organ involvement. How to help the fatigue, etc when working full-time?
2 doctors weighed in across 2 answers
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