Thank you guys for all your help! Sorry for not taking time to post since so many months. My sister finally recovered completely after 6 months of flare up from Dec 09 until May 10. I am not sure what did the trick but thanks to the doctors at John Hopkins. They tried everything they could. Rituximab was rejected by her insurance but huge doses of prednisone and cellcept worked for her. Her butterfly rash is all gone too. Its a miracle.
My sister is now all better, going back to work. Now that winter started again, she is having little trouble on and off but she is way better than last winter.
Thanks for all your support! It is very much appreciated.