I feel like a new woman!
I was prescribed a short burst of steroids so that we could confirm that the remainder of my symptoms were in fact lupus and not being caused by other stuff. The Dermatologist prescribed 20mg a day for two weeks and then 15mg for a week, then 10mg for a week and finally 5mg for a week. This is with a view to starting an immune suppressant at my next appt on July 19th. I guess it's a final tick box for my Dermatologist to justify such a strong medication when my bloods show nothing but I am still suffering.
I have a diagnosis of SCLE from blood tests and symptoms in October/November 2013 and finally a biopsy on the rash on the nape of my neck this January - which again confirmed lupus. I have noticed that doctors write a mix of SLE & SCLE in my notes. But despite being on hydroxy since my diagnosis - so for 2 1/2 years now I was experiencing increasing flares and more debilitating symptoms. I had extremem fatigue, bursitis in my hip - the worst pain I have ever had and I've already had surgery on my hip and my headaches/migraine/myalgias were frightening. When I went on the steroids I had also been experiencing diarrhoea for 5 days - which is a normal symptom for me but hadn't lasted that long in the past. On top of all of this I was quite down - not sure if that was a direct symptom or as a result of how I was feeling. I even decided to hand my notice in at work as I felt that I was drowning and needed to slow down for myself and my families sake.
Anyway, the steroids didn't have an over night effect on me. I did notice that I was awake longer at night but it wasn't until week 2 that I could really see the difference. I haven't had a day time nap for 12 days. 12 days!!!!! I usually have a daily nap or lie down. That alone has made a difference to my family life. Last Saturday my husband suggested at 9pm that we watch a movie together and I usually scoff and head off to bed, but I stayed up, watched a movie and went to bed at 11pm. I haven't been to bed before 10pm this week! I have spent time with my family. It is the best feeling in the world. I am me again. No naps, no fatigue, more energy, no headaches, no diarrhoea. My skin is good, my hair is good, my nails are good. I still have my hips pains from the osteoarthritis and the odd twinge in my knees and back - but I can cope with that.
My belt on my jeans is 2 holes tighter too. My feet have gone down further. And I am still convinced that I have a minor form of vasculitis and water retention. So although most people put weight on with steroids I think I look thinner and people have complimented me on my weight loss. How strange?
Of course my fear is now the tapering off the steroids, the side effects kicking in and most of all going back to quite frankly the shadow of my former self once again. This last week I have cleared out my children's bed rooms and have a pile of stuff for a car boot sale tomorrow - something I haven't had the energy to sort out now for years. My house looks good, the kids are happy and my husband is over the moon.
Can I feel like this long term? Or am I being teased? Am I hoping for too much. The hope. The expectation. The disappointment. Lupus is a cruel disease.
Diagnosis - SCLE, hayfever, dust allergies, pet dander allergies, osteoarthritis both hips and knees, varicose veins, slight hypermobility.