11 doctors weighed in:
Malar rash, photo sensitivity, joint pain, general feeling of being ill, etc., but negative ANA and RA factor. Any ideas as to what it could be? 
11 doctors weighed in

Dr. Michio Abe
Internal Medicine
5 doctors agree
In brief: Suspicious for SLE
Sounds suspicious for systemic lupus erythematosus if you have any 4 out of 11 diagnostic criteria.
Negative ANA does not necessarily exclude the possibility of sle. what is important is to put the current symptoms into an overall context that includes blood tests, duration of symptoms, other illnesses, and medications, and to develop a treatment plan based on the total information. See a rheumat.

In brief: Suspicious for SLE
Sounds suspicious for systemic lupus erythematosus if you have any 4 out of 11 diagnostic criteria.
Negative ANA does not necessarily exclude the possibility of sle. what is important is to put the current symptoms into an overall context that includes blood tests, duration of symptoms, other illnesses, and medications, and to develop a treatment plan based on the total information. See a rheumat.
Dr. Michio Abe
Dr. Michio Abe
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Dr. Pedro Hernandez
Internal Medicine - Geriatrics
2 doctors agree
In brief: 52 possible
http://en.diagnosispro.
com/differential_diagnosis-for/facial-malar-flush-rash/33343-154.html. There are at least 52 possibilities you may read them all here. My suggestion....Go to the dermatologist you might need a biopsy.

In brief: 52 possible
http://en.diagnosispro.
com/differential_diagnosis-for/facial-malar-flush-rash/33343-154.html. There are at least 52 possibilities you may read them all here. My suggestion....Go to the dermatologist you might need a biopsy.
Dr. Pedro Hernandez
Dr. Pedro Hernandez
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Dr. Morris Westfried
Dermatology
2 doctors agree
In brief: Lupus
Lupus, mixed connective tissue disease both have symptoms listed and may have negative ana.
The sedimentation rate or CRP may be abnormal. Discuss with doctor about therapeutic trial with drugs for lupus - prednisone, Plaquenil (hydroxychloroquine) for therapeutic response. A skin biopsy for immunoflourescence could be a positive test for lupus despite negative blood test.

In brief: Lupus
Lupus, mixed connective tissue disease both have symptoms listed and may have negative ana.
The sedimentation rate or CRP may be abnormal. Discuss with doctor about therapeutic trial with drugs for lupus - prednisone, Plaquenil (hydroxychloroquine) for therapeutic response. A skin biopsy for immunoflourescence could be a positive test for lupus despite negative blood test.
Dr. Morris Westfried
Dr. Morris Westfried
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Dr. Ronald Shelton
Dermatology
1 doctor agrees
In brief: Connective tiss dis
With some cases of lupus, dermatomyositis, rheumatoid arthritis, scleroderma tests may not be positive until a whle after symptoms exist and special ANA tests may be needed.
Drug-induced lupus can be caused by some medications, possibly you're on a new medication or one that is now starting to cause the problem, or are you on a tetracycline for lyme disease and have sympotoms from the lyme & rx?

In brief: Connective tiss dis
With some cases of lupus, dermatomyositis, rheumatoid arthritis, scleroderma tests may not be positive until a whle after symptoms exist and special ANA tests may be needed.
Drug-induced lupus can be caused by some medications, possibly you're on a new medication or one that is now starting to cause the problem, or are you on a tetracycline for lyme disease and have sympotoms from the lyme & rx?
Dr. Ronald Shelton
Dr. Ronald Shelton
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Dr. Stephen Rodrigues
Family Medicine
In brief: Loose ends!
While the experts are debating i would suggest beginning a wellness program of diet exercise and sleep hygiene.
Joints and tissue love to be massaged, stretched, heated and nourished with vits and minerals. Magnesium will soften issues (epsom soaking). Most important is a myofascial release specialist, hands-on or dry needling or acupuncture.

In brief: Loose ends!
While the experts are debating i would suggest beginning a wellness program of diet exercise and sleep hygiene.
Joints and tissue love to be massaged, stretched, heated and nourished with vits and minerals. Magnesium will soften issues (epsom soaking). Most important is a myofascial release specialist, hands-on or dry needling or acupuncture.
Dr. Stephen Rodrigues
Dr. Stephen Rodrigues
Thank
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