Conversation: The conversation between human and AI assistant.
[|Human|] Im not sure what kind of dr to see or if I should/or can wait to get in to see a nuro/rhum. I have had multiply sx for years it first started as nuro sx. I have seen at least 5 nuro dr. over the years all test neg. except positive ana and some white spots on mri of the brain which have been no concern. Over the years the sx. have increase to more rhem. I am getting no where with my rhem. dr. all test neg. for lupus she said and to go back to another Nuro and a second opinion from another rhem. and to a dermatologist and a massage. Sx. now that my rhem knows about also....Hands/fingernails-nodules on joints, nails pale with very dry over grown cuticles, wont grow, white marks scaly patches on hands and feet, chronic plantars fasciitis (1year-2 podiatrisits), joint pain in Am that goes away, pain in the whole back while sleeping and during the day that varries through out the day/days, red v rash/shawl rash and upper arms comes and goes with severity in color, sudden chest pain with upper back tighness and it felt like a lump in my throat, lasted 20-30 min. NOW my disk are bulging in my spine by my neck. I have new sx they arive daily!primary said to follow rhem. direction & go to the ER if chest pain happens again. QUESTION> what kind of Dr. should I see? (I am going to the Derm. next week). I think my Dr is just focused on Lupus and not looking into anything else, do you agree? She said Lupus dosent cause back pain and all my test are neg. except ANA. Do I just jump to a hem/onc? I think they are over looking something in my blood. Or try another nuro because of all the back pain?  I am on Plaqunil, anti-inflamatory, zoloft, prednisone since 2 months ago!
[|AI|]  Hi I did review your concern I would advise you to consult an immunologist or a rheumatologist who is expert in this field. Positive ANA test can be present in other autoimmune disorders too other than lupus. Most specific for lupus is DS DNA AG or anti smith antibody test. Also back pain can occur in condition like Ankylosing spondylitis, so get an HLA B27 assay done in case you have not done that hope this suggestion yellowish you all the good luck