YES - you can have both Lupus and Crohn's Disease - I have both and have NEVER been on Remicade, Humira, or any other Drug Inducing meds.
I was first diagnosed with Lupus and a year later Crohn's. It isn't common to have both together, especially if the Lupus is not Drug Induced from Remicade, Humira, etc. (according to my Rheumy). But if you have one Auto-immune disease you are more likely to get another one.
As for the Positive ANA, mine is ALWAYS positive regardless if I am on Pred, my Titre Rate from the ANA will go up and down depending on my disease activity and also my SED Rate will go up and down depending on if I am in a flare or not.
As for my Lupus symptoms - they differ from my Crohn's for sure - I have the Lupus Butterfly/Wolf Rash pretty much all the time, I have some Kidney involvement, joint pain (fingers, wrists, etc. - with the Crohn's I tend to get the weight bearing joint pain - knees, ankles and elbows) with some joint swelling, sun sensitivity and I get joint pain and exhaustion if I spend too much time in the sun, I can get exhausted at the drop of a hat and also tend to get deep muscle pains that come and go.
I don't believe that the size of your kidney's plays into anything Lupus - never heard of that one and I do have Kidney involvement and no one has every said anything about the size of my kidneys. :)
I take Methotrexate for both Crohn's and Lupus - it does work quite nicely and much better than the Immuran - for me that is :) Neither my GI or Rheumy would allow me to take Humira or Remicade as it would flare my Lupus symptoms.....
Questions let me know....
Diagnosed with Lupus - April 2002
Diagnosed with Crohn's Disease (and all the lovely things that come with it) - January 2003 (problems since early 1990)
Normal Meds: Ambian 10mg, Flexeril 10mg as needed, Plaquenil 400mg, MTX 25mg Injection weekly, 1000mg Canasa Supp. as needed, Probiotics
Post Edited (karasmommy) : 3/30/2010 10:01:25 AM (GMT-6)