<s>[INST] hi my 11 yr old daughter has been unwell for nearly two years, and now at last the blood tests have come back with hb of 10, platelets of 86, and esr 58. She has had rash all over legs every three months or so and lethargy ??? her igE is over 400 as well. Do you think its lupus [/INST] Good evening mam. I would like to know more details on she's not keeping well. Is it fever. Mouth ulcers.body ache.joint pains? The blood tests do show a low platelet count and high ESR. The rashes are a bit non-specific but can be seen in any autoimmune condition. At this stage it is very hard to say if it is exactly lupus or something else. You need to get her ANA tested along with ENA profile. We must figure out a cause for this blood picture. These two tests will help us reach the diagnosis. Hope the information was useful. </s>