I do not have much of rheumatoid problems. i had discoid breaksouts on my forehead and around my nose. I itched so bad I thought I would lose it. I had the brain fog and exhaustion. A blood panel showed the increase in liver enzymes that started my diagnosis.Mine is affecting my internal organs. I was sent to a liver specialist . He gave me me a tapering dose of predisone four weeks ago. iI ran out ths week. I am begfinning to to see signs of it coming back. The rash and purple spots on my hands are beginning again. I do have an appointment to see thim again until the 17th of Jan. He is Dr Michael Sullivan in Kingsport Tn. I live in south west Virginia. Does anyone else live in the area