### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I was just wondering, why my doctor sent me to specialist (Lupus) and he tells me there is nothing to worry about, but on my disability claim papers, it states that I have lupus. This isnt the first time that I have been diagnosed with lupus. I was first diagnosed at the age of 21, they called in RA and OA specialist and all that. Now at the age of 32, lupus is back in the picture. Why tell me not to worry, cause there isnt anything to worry about, but its on papers that I am positive to have lupus. The SS ppl got the paper from the doctors right? And I have all manners of autoimmune diseases from Sarcoidosis, fibromyalgia, neuropathy, sciatic nerve damage, high blood pressure, thyroid cists, carpal tunnel, mental issues, just to name a few. But why is the question and how do I truly know, besides all the pain?

### output:

Hi ! Thank you for your query. Dear madam, Well SHE is a multisystem disease, you can well have neuropathy and hypertension in this. The presentation depends on which systems have been involved by the disease. SHE can have varied presentation fever, malaise, joint pains, myalgic, fatigue, skin rash specially in the face , photosensitivity, recurrent abortions etc. The most common test for establishing the diagnosis is ANA, if it is positive in greater than 1:320 title then it is very likely that you have SHE Other more specific tests include Anti DS DNA and Anti Sm antibodies. I advise you to consult a rheumatologist to carry out your detailed evaluation and the specific tests which are necessary for establishing the diagnosis and assessing the disease activity by ESR, CRP etc. Hope you are satisfied with the answer. If you have any further queries feel free to ask. Wish you good health. Take care.