Most of the time it's a rheumatologist, a doctor who specializes in treating joint and muscle diseases, who will make a diagnosis of lupus. But usually your primary care physician will recommend that you see a specialist after you or your primary doctor has observed some of the common lupus warning signs.
Lupus diagnosis is based on your symptoms, plus blood and urine tests, imaging scans, and sometimes, biopsy results. MS diagnosis is based on your symptoms, plus a blood test, spinal tap exam, MRI scan, and the evoked potential test to check electrical signals in your nerves.
Most people will see a rheumatologist for their lupus treatment. A rheumatologist is a doctor who specializes in rheumatic diseases, such as arthritis and other inflammatory or autoimmune disorders. Clinical immunologists, doctors who specialize in immune system disorders, may also treat people with lupus.
MS is diagnosed by your neurologist. They will use a specific checklist to diagnose MS, known as the McDonald criteria. They'll carry out a number of tests to run through the criteria, which could include blood tests and MRI.
The most common symptoms of neurological involvement from lupus are migraine headaches, changes in personality and cognitive function, epileptic seizures, and occasionally stroke — which are not typical manifestations of multiple sclerosis (MS).
Nervous system problems might be symptoms of lupus, or they might be caused by a different condition. Different medical specialists (e.g. rheumatologist, neurologist, psychiatrist) and neuropsychologists can find out if your nervous system problems are related to lupus.
Both lupus and MS can follow a pattern of remission and relapse which repeats. They can both cause brain lesions that look similar on magnetic resonance imaging (MRI). While the nerves are the primary target of MS, lupus sometimes affects the nerves as well.
Here's where MS (typically) starts
You may experience eye pain, blurred vision and headache. It often occurs on one side and can eventually lead to partial or total vision loss. Spinal cord inflammation, or what's called partial transverse myelitis, is the second most common symptom Shoemaker typically sees.
While there are no definitive blood tests for diagnosing MS, they can rule out other conditions that may mimic MS symptoms, including Lyme disease, collagen-vascular diseases, rare hereditary disorders, and acquired immune deficiency syndrome (AIDS).
The early signs and symptoms of MS can be the same for women and men. One of the more obvious first signs of MS is a problem with vision, known as optic neuritis. This is often because it's a more concrete symptom as opposed to vaguer neurological symptoms like numbness and tingling.
The 11 criteria included were malar rash, discoid rash, photosensitivity, alopecia, Raynaud phenomenon, oral/nasal ulcers, arthritis (non-erosive arthritis involving 2 or more peripheral joints), serositis (pleurisy or pericarditis), renal disease (proteinuria greater than 500 mg daily or cellular RBC, granular, ...
98% of all people with systemic lupus have a positive ANA test, making it the most sensitive diagnostic test for confirming diagnosis of the disease. The test for anti-nuclear antibodies is called the immunofluorescent antinuclear antibody test. In this test, a blood sample is drawn and sent to a laboratory.
There are no specific tests for MS . Instead, a diagnosis of multiple sclerosis often relies on ruling out other conditions that might produce similar signs and symptoms, known as a differential diagnosis. Your doctor is likely to start with a thorough medical history and examination.
Therefore a careful combination of clinical examinations, MRI scans and lumbar punctures are required. To differentiate MS from other similar neurological conditions, most neurologists use what is called the McDonald criteria.
Your doctor will look for rashes and other signs that something is wrong. Blood and urine tests. The antinuclear antibody (ANA) test can show if your immune system is more likely to make the autoantibodies of lupus. Most people with lupus test positive for ANA.
Some of the most common early signs are: fatigue (a kind of exhaustion which is out of all proportion to the task undertaken) stumbling more than before. unusual feelings in the skin (such as pins and needles or numbness)
Inflammation in a myelinated portion of the nervous system is the mainstay of multiple sclerosis (MS). Elevation of inflammatory markers such as procalcitonin, ESR and hs-CRP is suspected to occur in MS patients.
These include fibromyalgia and vitamin B12 deficiency, muscular dystrophy (MD), amyotrophic lateral sclerosis (ALS or Lou Gehrig's disease), migraine, hypo-thyroidism, hypertension, Beçhets, Arnold-Chiari deformity, and mitochondrial disorders, although your neurologist can usually rule them out quite easily.
Tiredness is one of the most common symptoms of a flare. You may also experience weakness or malaise (a general overall feeling of sickness). During a flare, fatigue may be caused by cytokines — substances produced by the immune system.
Sjogren's syndrome is an autoimmune disease that can mimic some of the symptoms of MS such as fatigue and joint pain. However, Sjogren's syndrome is known to cause dry mouth and eyes, which are not associated with MS.
Lupus can be difficult to diagnose because its signs and symptoms often mimic those of other ailments. The most distinctive sign of lupus — a facial rash that resembles the wings of a butterfly unfolding across both cheeks — occurs in many but not all cases of lupus.
Chronic Cutaneous Lupus
Lesions most often appear on the face, ears, scalp, neck, and hands. They are usually not itchy or painful, but they may cause dark spots or scars that remain on the skin after they heal. Scarring on the scalp may destroy hair follicles and result in permanent hair loss.