I was diagnosed with lupus of the skin because of the result of 2 biopsy's. However all of my bloodwork is normal. If my bloodwork is normal then how do I have all kinds of symptoms? I am exhaused all of the time, my hand and feet have pins and needles all of the time.Im being treated for dry eyes. I have lots of water retention and joint pain. And i have a rash on my toes. Can anyone tell me iif it is possible to have systemic lupus without it showing up in the bloodwork?