Auto-immune diseases like Lupus are diagnosed more by symptoms than by blood work. I will admit fatigue was one of my first, and one of the most pervasive, symptoms I had. Here are the 11 diagnosing symptoms for Lupus - most rheumatologists require 4 before diagnosing Lupus.
The “Eleven Criteria”
1.Malar rash: butterfly-shaped rash across cheeks and nose
2.Discoid (skin) rash: raised red patches
3.Photosensitivity: skin rash as result of unusual reaction to sunlight
4.Mouth or nose ulcers: usually painless
5.Arthritis (nonerosive) in two or more joints, along with tenderness, swelling, or effusion. With nonerosive arthritis, the bones around joints don’t get destroyed.
6.Cardio-pulmonary involvement: inflammation of the lining around the heart (pericarditis) and/or lungs (pleuritis)
7.Neurologic disorder: seizures and/or psychosis
8.Renal (kidney) disorder: excessive protein in the urine, or cellular casts in the urine
9.Hematologic (blood) disorder: hemolytic anemia, low white blood cell count, or low platelet count
10.Immunologic disorder: antibodies to double stranded DNA, antibodies to Sm, or antibodies to cardiolipin
11.Antinuclear antibodies (ANA): a positive test in the absence of drugs known to induce it.
Unlike the previous poster, I would not jump to any particular diagnosis, wait for the Dr to render his/her opinion. However, if you do not receive a helpful treatment plan, don't delay, get a second opinion from a rheumatologist familiar with Lupus.
Let us know if you have specific questions we can help with.
Lynnwood, Lupus & Sjogren's Moderator, Dx: 2002DIAGNOSING LUPUS & HW's LUPUS 101
"Life is far too important to be taken seriously." - Oscar Wilde