Mine is always very noticeable after I get home from work so I know the stress of the day and traffic have a lot to do with it. I always feel feverish too when I get home. It does calm down and go away by the end of the evening after I have relaxed at home so I have no doubt that mine is made worse with stress.
I agree with Patty, make sure to take a picture and take it to your doctor and keep a copy of the photo in your own home version of your medical file :)
Dx: IBS 1989, Diverticulosis 2004, Idiopathic Acute Colitis 2006, UCTD 2007, Localized Scleroderma 2009
Meds: Plaquenil 400mg/day, Pred 2.5 mg/day (tapering), Methotrexate 10mg/week, Hydrocodone PRN, Fiorinal PRN, Baby aspirin, Prenatal Multi, Vit E, B12, Fish Oil, Biotin, Calcium, Folic Acid