Conversation: The conversation between human and AI assistant.
[|Human|] I have many symtoms of lupus however the blood tests do not show what the doctors have been looking for to come to a conclusion. I was prescribed 90 mg of steroids daily for several months due to ocular histoplasmosis. When I weaned off the steroids a rash developed on my shin, then spread to the other shin my chest, back of my neck, and my forearms. Many creams for the last 1 1/2 years and finally relief with a prescription of Dapsone. I have also developed deep joint pain in my hips, wrist and shoulder and am exhausted. I am not allergic to anything. Do you have any suggestions for find more definitive diagnosis or range of treatment for the paid and tireness
[|AI|]  Good evening sir. Well I am not too sure what all tests you were subjected to. Lupus can affect the blood tests, and it may not as well. ANA, DSNA, Complement C3 and C4 are highly specific for lupus. And if they are present along with the symptoms you describe, it is confirmatory. 90 mg is a very high dose of steroid to start with and if the rashes, joint pains are appearing after tapering it, there is a chance that Lupus was just hidden due to steroids. If you have got these tests done and it's still negative, we will need to put you through some other autoimmune markers. Do let us know for further queries. Hope the information was useful.