11 SLE criteria, from the Lupus Research Institute:

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Diagnosing Lupus 

Lupus is an incredibly complex autoimmune disease and diagnosing lupus can take a lot of time and many doctor visits. Patients will often get diagnosed with other “overlap” diseases such as rheumadoid arthritis (RA)Sjogren’s Syndromescleroderma, fibromyalgia or Raynaud’s Phenomenon even before a diagnosis of lupus is made. This can be incredibly frustrating for you as well as your doctors. Understanding the process of getting a lupus diagnosis is one of the most common questions we get here as well as a main topic in the discussions on our Facebook page and our other social media platforms. The goal of this blog is to give a clear understanding of the diagnosis process and provide the tools needed to go back to your doctor (or a new doctor) armed with the information you need.

Do you think you may have lupus? If you have shown several of the signs for lupus, you and your physician may now take the next step in determining if it is lupus or another auto-immune disease.  In order to make such a diagnosis, the individual must first show clinical evidence of a multi-symptom disease (i.e., the individual has shown abnormalities in several different organ systems).

To learn more about the symptoms that can be specific to lupus, please refer to our blog post on Lupus Symptoms and Signs. There you can find an excellent graphic showing the body and where lupus can present itself along with other helpful information on that topic.

Very Important Information

Before receiving any test, it is important to understand that no one test alone can determine a lupus diagnosis. A positive test result does not necessarily mean that you have lupus, nor does a negative test result mean that you do not have lupus.

Individual test results can also vary from one visit to another, which can be very confusing.  A doctor will take into consideration a combination of factors as well as the test results when diagnosing lupus, and because of this, we encourage you inquire about the ANA and DNA testing, which doctors are often reluctant to give.  These two tests together can create a clearer picture of whether the diagnosis could be lupus.  Again, we must remind you that just because you test negative today, it does not mean that you won’t test positive tomorrow.

If you are not satisfied with the results or are uncomfortable with your physician for any reason, please seek a second opinion. You are your own best advocate!

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