The 4 of 11 do not have to occur simultaneously. Some less-informed rheumotologists and other doctors not trained in detecting auto-immune diseases (these include GPs, PCP, and the like) try to stick with the lab tests, but with Lupus they ARE NOT the primary diagnosing criteria. In some areas, especially smaller towns, you may have to look very closely to find a rhuemy who can treat you. I suggest you keep getting second opinions until a rheumy takes you seriously and provides treatment. Lupus can be, and has been for many of us, diagnosed without labwork.
Check our Lupus Resources section and take note of all symptoms, dates, pictures, circumstances, etc while you are on this journey. These should be as valid to a competent dr as a lab test. Check out www.lupus.org
for a local group in your area -- doctors associated with this group are more likely to use
open-minded diagnosing techniques.
Hope you all feel better soon,
Lynnwood, Lupus & Sjogren's ModeratorDIAGNOSING-LUPUS & LUPUS-RESOURCES
"Life is far too important to be taken seriously" - Oscar Wilde