Conversation: The conversation between human and AI assistant.
[|Human|] Hello, I had a biopsy 9 months ago and it was positive for subacute cutaneous lupus. But my blood work is normal. I have a rash on my face, chest arms , inner thighs and calves . The rash does not go away and they turn purple in cold or hot water. I have severe pain in my hands , knees, lower back and elbows. My muscles hurt very bad and they are weak. I wake up with migraines for up to 7 days straight. My question is why is my blood work neg. but my biopsy psitive and i experience all these symptoms and can S.C.L.E. turn into S.L.E?
[|AI|]  Good evening. Subcutaneous lupus is a benign condition. It normally limits itself to the skin and may cause joint pains occasionally. You blood work is negative because it may not be involving any of your organs. Which is a good thing. For SCALE to turn into SHE, one needs to have ANA positive or some other antibodies in ENA profile. I am not too sure if you have those results. Also supplement your self with vitamin D treatment, as lupus patients are to avoid exposure to sun. Vitamin D Deficiency can cause the arthralgias which you are experiencing. . Hope the information was useful