Lupus?: Hi everyone, this is a follow-up to the... - Thyroid UK

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Lupus?

fairydogmother profile image
18 Replies

Hi everyone, this is a follow-up to the post I wrote a couple of days ago about permanent makeup/hyperthyroid/immunosuppressive drugs, so many people asked if I had lupus because of the butterfly pattern.

I had the eyebrows microbladed May/June 2018 and the eyeliner tattoo Sept/Oct 2018.

The outbreaks started in Nov 2018, each one lasted about 5-7 days and they happened at 2-4 week intervals up to April 2019. So I guess I had around 6 cycles altogether, the worst 2 were late Dec/early Jan. The hideous photo I posted was taken 10 Jan.

My GP was sure it was angioedema/urticaria, never mentioned lupus at all.

The photo here is how I look today (no, I don't like it either but what can you expect at nearly 69!) but as you can see, no rash, no redness, no huge eye bags, this is pretty much what I look like all the time without a lick of makeup except for the permanent brows/liner that I had in 2018 just before the face outbreaks started.

So, as I know nothing about lupus, does it usually last for just a few months in short cycles as I described?

I can't post the two photos side by side here so I hope you can find the other one to compare and let me know what you think?

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fairydogmother
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18 Replies
Lora7again profile image
Lora7again

Yes you do look better in this photo. I don't know much about lupus but it can have flare ups.

nhs.uk/conditions/lupus/

fairydogmother profile image
fairydogmother in reply to Lora7again

well that's a relief!!! I was never pretty, I look too much like my dear old dad, but am used to my face and it does improve a bit with normal slap. I know this sounds like vanity but it's a big hit to self-confidence to see your hair thinning, brows go patchy and eyelashes down to little stubs, a bit of improvement goes a long way for me.

if I asked my GP for a lupus test now she would say there's nothing wrong with me so I'll ask for one if it ever comes back, I'd rather it didn't! x

Lora7again profile image
Lora7again in reply to fairydogmother

It might be worth asking so if you have a flare-up you can treat it. I am 60 and don't look too bad for my age considering how horrible the last 12 years of my life have been. You can read my story on my page.

fairydogmother profile image
fairydogmother

I can't edit my post but I meant to say the hideous photo was taken 10 Jan 2018, the one on this post taken yesterday, 15 Jan 2019

Lora7again profile image
Lora7again in reply to fairydogmother

Ha ha you are very brave to show your real face on here ... I have a chest infection at the moment and my lovely son just told me I look dreadful and old pmsl ... thanks son!

fairydogmother profile image
fairydogmother in reply to Lora7again

hmmmm - brave? I am so fed up with the baggy face I am having CACI facials, no.3 this morning, to try not to end up looking even more like dear old dad ... he would have a FIT if he knew I'd spent money on fripperies like permanent makeup & facials! I will read your page when I get back, good luck with the chest infection.

my GP nagged me for years about flu jabs and I wouldn't have one in case it upset my immune system/thyroid, I didn't have one in 2018 so at least I know the face thing wasn't caused by vaccination (Elaine Moore is wary of them)

but I did have it in Oct 2019 as I was travelling and had boosters of all the travel vacs anyway, and none of them have caused any reactions (yet)! x

Lora7again profile image
Lora7again in reply to fairydogmother

I used to work for the NHS and we were offered free flu jabs which I had once and then caught the flu and was off for 2 weeks. They can protect against some flu strains but not all. I don't have them now and although I am ill at the moment the last time I had flu was 4 years ago.

fairydogmother profile image
fairydogmother in reply to Lora7again

now that's what I said when they were nagging me to have the flu jab, if I'd caught flu anyway like you did I would never have had the jab again

sometimes things are just coincidence, like maybe my permanent makeup/angioedema was coincidence, but it's hard to break the mental connection

Lora7again profile image
Lora7again in reply to fairydogmother

I think as we age we need to look as good as we can. However I am not going to have any plastic surgery because I don't believe in having unnecessary operations. I have a round face and don't have too many wrinkles yet but the thought of bottox or any other injections in my face fills me with dread.

fairydogmother profile image
fairydogmother in reply to Lora7again

PS another angioedema trigger is insect bites, I react badly anyway and got bitten 3 times on my face in Sept 2018, it could just as easily have been that and not the permanent makeup, I just don't know, I can't do any more to avoid getting bitten but I can avoid more permanent makeup, so it seems the best thing to do

Lora7again profile image
Lora7again in reply to fairydogmother

I always wear insect repellent because I can have a reaction to insect bites. I once got stung on my lip by a bee and I looked like Mick Jagger and had to take a antihistamine straight away.

Lora7again profile image
Lora7again in reply to fairydogmother

just click on more and then edit will appear to change your post.

You look much healthier here and, at your age, Lupus would be less likely unless you already have kidney involvement. But not impossible at all that you have Lupus - only a certain percentage of people have the famous butterfly rash. I have Sjögren’s with Hashimoto’s and a rare overlap connective tissue disease and I sometimes get the butterfly rashes. I’ve also had angioderma and anaphylaxis.

Sjögren’s more commonly shows in older women than Lupus - but there’s a lot of overlap. Both are classed as rare so sadly GPs often miss these. It would require a rheumatologist with a special interest in Lupus or Sjögren’s to diagnose them, or perhaps a dermatologist, not a GP. For best info you may want to look here lupusuk.org.uk/

jjf255 profile image
jjf255

You look GREAT! Really. I was one of the readers who asked if you had been tested for Lupus after seeing your original picture. I don't know anything about it other then the sign of butterfly redness across the nose and check area.

You really do have beautiful skin.

fairydogmother profile image
fairydogmother in reply to jjf255

What a lovely thing to say! I hate my skin, my dad was a Scot and I've got his fair, freckled skin, shows every tiny red broken vein. However even his nose wasn't THAT big, I am just useless at selfies.

I usually wear a little bit of slap to even things out, my sister has our mum's skin, she can wear a ton of makeup and look like a movie star, I just look like a tart if I put too much on. Which is why the permanent makeup! It gets put on exactly where you ask for it, never comes off, you wake up with it and it stays there when you swim.

Thank you for the confidence boost! x

jjf255 profile image
jjf255 in reply to fairydogmother

Your permanent brows look very natural and the eyeliner is just enough. I know a ton of 68 years plus women that would give anything to have your skin.

fairydogmother profile image
fairydogmother

Just a thought ... rooting around the internet for lupus info, seems there isn't the same kind of definite test as for thyroid, but a test for inflammation indicates lupus with a high ESR (erythrocyte sedimentation rate)

My wonderful GP did a full blood panel in Feb last year to see if they could find any cause for the angioedema stuff, I just pulled the copy out and I did have an ESR test, the ref range is 3-20 and mine is 2, flagged as 'low'

Does that sound as though it's unlikely to be lupus, then?

in reply to fairydogmother

Yes low is very good for ESR. Again it doesn’t exclude Lupus but it makes having any rheumatic disease less likely. My ESR averages around 70-90 for example. I also have the very fair, semi translucent skin which shows every blemish and my eyebrows are white blond. I had alopecia aerate as a child and then again twice as an adult but never again since being on a higher dose of Levothyroxine. When my scalp starts to itch and my hair, to moult, I know my dose of Levothyroxine needs another raise.

There are so many autoimmune diseases with multiple presentations - thyroid ones always seem to me to be very straight forward compared to my others so that’s a relief. The only problem I have is that I now seem to know much more about my Hashimoto’s, Sjögren’s and limited Scleroderma than my doctors - which really isn’t great!

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