I am looking for some advice please....
I was diagnosed with rheumatoid arthritis 4 years ago and have recently been diagnosed with autoimmune hepatitis and primary biliary cholangitis all of which being autoimmune diseases
I have a symmetrical circular rash on both sides of my neck, my chest and the back of my hands which after biopsy came back negative even though they are considerably worse in sunlight I also have hard circular itchy lumps/lesions on the palms of my hands with discolouration which I always assumed was ra but last time I saw my rheumatologist he said he didn’t think so but didn’t really have time to discuss them!
My latest bloods showed positive asma negative ana but very positive anti-ro I have a lot of symptoms listed as lupus however I appreciate these are also often related to the symptoms of the other already diagnosed diseases too
The question is do you think it’s worth seeking a second opinion re lupus as with everything else I have going on atm I don’t want to risk anything else going undiagnosed?