You want the references: (From the Merck manual)
Skin and Mucous Membrane Problems:
Skin rashes include a butterfly-like redness across the nose and cheeks (malar butterfly rash); raised bumps or patches of thin skin; and red, flat or raised areas on the face and sun-exposed areas of the neck, upper chest, and elbows. Blisters and skin ulcers are rare, although ulcers do commonly occur on mucous membranes, particularly on the roof of the mouth, on the inside of the cheeks, on the gums, and inside the nose. Generalized or patchy loss of hair (alopecia) is common during flare-ups. Mottled red areas on the sides of the palms and up the fingers; redness and swelling around the nails; and flat, reddish purple blotches between the knuckles on the inner surfaces of the fingers also may occur. Purplish spots (petechiae) may occur because of bleeding in the skin as a result of low platelet levels in the blood. Sensitivity to sunlight (photosensitivity) occurs in most people with lupus, particularly fair-skinned people.
Heart Problems: People with lupus may have chest pain due to inflammation of the sac around the heart (pericarditis). More serious but rare effects on the heart are inflammation of the walls of the coronary arteries (coronary artery vasculitis), which can lead to angina (see Coronary Artery Disease: Angina), and inflammation of the heart muscle with scarring (fibrosing myocarditis), which can lead to heart failure (see Heart Failure). The valves of the heart can rarely be involved and may need to be surgically repaired. People are at increased risk of coronary artery disease.
Lymph Node and Spleen Problems: Wide-spread enlargement of the lymph nodes is common, particularly among children, young adults, and blacks of all ages. Enlargement of the spleen (splenomegaly) occurs in about 10% of people. People may experience nausea, diarrhea, and vague abdominal discomfort. The occurrence of these symptoms may be the forewarning of a flare-up.
Kidney Problems: Kidney involvement may be minor and without symptoms or may be relentlessly progressive and fatal. The most common result of this impairment is protein in the urine that leads to swelling (edema) in the legs.
That's a pretty good hit rate. Whatever the disease is, it's systemic. I did not give a diagnosis, I said it might fit and gave references as to why.
The dx must come from these:
Characteristics of Lupus
At least four of the following symptoms are usually present for a diagnosis to be made:
*
Red, butterfly-shaped rash on the face, affecting the cheeks
*
Typical skin rash on other parts of the body
*
Sensitivity to sunlight (for example, rash or persistent burn)
*
Sensitivity to sunlight (for example, rash or persistent burn)
*
Mouth sores
*
Joint inflammation (arthritis)
*
Fluid around the lungs, heart, or other organs (serositis)
*
Kidney dysfunction
*
Low white blood cell count, low red blood cell count, or low platelet count
*
Nerve or brain dysfunction
*
Positive results of a blood test for antinuclear antibodies
*
Positive results of a blood test for antibodies to double-stranded DNA, to phospholipids, or smith antibody
2 more to go.
Take a look here, too:
http://www.lupus.org/webmodules/weba...239&zoneid=524
The masses or cysts are not explained but nearly everything else may be. Your correct an dx cannot be determined. The person asked for insight, not a diagnosis. Sorry, can't give diagnosis, but I can give insight.
That is:
It's likely systemic because of hair loss.
It's seems to be attacking everything, so it's probably an autoimune disease.
It needs to be properly diagnosed ASAP. It MAY not be cureable. Note the emphasis on MAY.