Lupus is very difficult to diagnose and doctors are not going to put you on suppression meds until a diagnosis can be made....clinical symptoms, labs, and other tests if warranted by your symptoms. As someone else said, if your symptoms worsen or new ones appear you can call and get another appointment. Most patients with lupus probably experience diagnosis hell for many months or years. I had blood symptoms for 15 years before I had clinical symptoms. My doctors "guessed" I might have lupus but until clinical symptoms appeared and were confirmed by labs they did not treat it nor should they have done so. Not all cases progress and it would be negligent for a doctor to treat because he/she thinks you might develop an autoimmune disease.
Kenalog is a corticosteroid like prednisone but is used primarily for arthritic/joint conditions and skin problems. It is possible that lupus or some other autoimmune disease is causing your problems but treatment of an autoimmune disease is a long term process and often is indefinite. Your doctor might be trying this treatment to see if you improve or not and then if you get worse again. That would be an indication that you have a chronic disease or condition.
MCTD (SLE Lupus, polymyositis, scleroderma). Diagnosed 2005. Kidney, liver, GI tract, dysphagia, raynauds, barretts esophagus, quadriplegic in 2005. Recovered and now active in downhill skiing, golf, hiking. Meds: amlodipine, benezapril, omeprazole, potassium, folic acid, vitamins, maxide.
Remain Optimistic and you can overcome.