<s>[INST] I am 65 years old. For the last 5-6 months I have been chronically fatigued and keep getting sick with colds and flu although I got a flu shot. Also, when I went out in sun my face reacted badly and burns and itches. Do you think I could have Lupus? My email is YYYY@YYYY [/INST] Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. At this age Lupus is rare ti developed, intsread of Lupus other Rheumatologic conditions like fibromyalgia or polymialgia rheumatica can occur, leading to weakness, stifness and musculoskeletal pain. Lab exams like ESR are elevated and glucocorticoids in 1 mg/kg weight are effective. Hope I have answered your query. Let me know if I can assist you further. </s>