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i have been haveing increase amount joint pain,with swelling at joint areas,excrutiating pain both ankles,makes it difficult to walk,chest pain and discomfort when deep breathing, along with at times heart raceing as if i have been running,though laying down,very tired with fever for past 2mo or so,fingers swollen painful to bend as noted when exposed to the cold, fingers turn blueish to pale,noteice when done to much work for the day,or in sun, or exposed to cold i begin with this symptoms,wake up feeling stiff,sometimes continues thruout the day or if sitting for period,i was told going thru fibromyalgia flareup,but a nurse stated no its a lupus flareup since fibro does not affect the joints,does it sound like fibro flareup,if so so i can cancel appt with rehumatologist in less than 2weeks, or can it possibly be lupus flareup,included ive lost over 10lb in 2mo thank you nicha

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replied June 3rd, 2010
Lupus Answer A12826
Hi, welcome to the ehealth forum and I am glad to help you.
Your concern is regarding Fibromyalgia and Lupus.
Fibromyalgia syndrome (FMS) is characterized by widespread pain and fatigue. Fibromyalgia means pain in the muscles, ligaments and tendons - the fibrous tissues in the body. Viral or bacterial infections, automobile accidents, or development of another disorder, such as rheumatoid arthritis, lupus or hyperthyroidism can bring about the onset of fibromyalgia.
On the other hand, Lupus is an autoimmune disease in which tissues and cells undergo damage mediated by tissue binding autoantibodies and it causes the immune system to attack the body's own tissue and organs, including the joints, kidneys, heart, lungs, brain, blood or skin. Symptoms can range from mild to life-threatening and can vary greatly from person to person. Common initial and chronic complaints include fever, malaise, joint pains, myalgias, fatigue, and temporary loss of cognitive abilities. Because they are so often seen with other diseases, these signs and symptoms are not part of the diagnostic criteria for lupus. The most commonly sought medical attention is for joint pain, with the small joints of the hand and wrist usually affected, although all joints are at risk. Research says that more than 90 percent of those affected will experience joint and/or muscle pain at some time during the course of their illness. Approximately one third of patients with lupus also develop fibromyalgia. Lupus can also have periods of flares (attacks).
You also seem to have Raynaud's syndrome or Secondary Raynaud's which can develop secondary to various connective tissue disorders like lupus, scleroderma, rheumatoid arthritis etc.
The symptoms of fibromyalgia can be mistaken for lupus and rheumatoid arthritis. It is suggested that there might be an association between rheumatoid arthritis and lupus. So you must consult a rheumatologist to reach a definitive diagnosis as the same cannot be made online. You can get ANA tests and keep follow up with your rheumatologist for other tests to reach definitive diagnosis in your case.
Hope this helps. Take care.
Note: This post is not to emphasise final diagnosis as the same cannot be made online and is aimed just to provide medical information and no treatment suggested above be taken without face to face consultation with health care professional.

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