Hi, wondering if any of you kind people can give me some advice. I've had arthritis and swollen painful hands for years, along with worsening asthma for about years and on top of this I've developed roseacia in the last year or so. All fine except lately my health has really deterrated. I've had pneumonia 3 times in the last 6 months, almost constant pleuritic pain and constant tiredness and depression. Could this all be a coincidence, as I'm starting to wonder if it might be lupus? Auto immune disorders do run in the family. I've attached a pic of the rash below. Sorry about the mug but currently laid up with pneumonia and pluerisy.