According to the American Rheumatology Association (ARA) to diagnose lupus you should have at least 4 of these criteria:
1. Butterfly-like persistent facial erythema;
2. DISCOID REDNESS WITH HYPERKERATOSIS OR ATROPHY;
3. SUN SENSIBILITY;
4. NON-PAINFUL SORES IN THE MOUTH AND NOSE;
5. JOINT INFLAMATION on 2 or more peripheral joints;
6. PLEURISY;
7. Renal failure(high urea and creatinin in blood, erythrocytes an proteins in the urine;
8. NEUROLOGICAL or/and psychiatric disorders;
9. Blood disorders: pancytopenia, HIGH SEDIMENTATION RATE, low alpha2 and gamma globulins, low albumins, low complement etc.;
10. Immunological founding: Anti-dsDNA, Anti-Sm, positive lupus-band-test of the skin etc., and
11. HIGH LEVEL OF ANA (Anti-Nuclear Antibodies).
According to your letter you have the criteria under 2, 3, 4, 5, 6 and 11 and some under 8 and 9 so there is great possibility that you have lupus. You can request examinations for your rheumatologist for all of the criteria, especially for those under 10.
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