I think you need to find a different Rheumatologist quickly. I am serious. Not all of the folks with Lupus have the Malar Rash. Not everyone with Lupus is RNP positive either. There are some folks in here that have never had the Malar Rash. One that I can think of right away is Rob. There are some folks about 5% that have Lupus that are what they call Sero-negative. This means that it does not show up in the blood in the form of a positive ANA test etc. The Lupus Foundation has listed 11 criteria and you have to meet at least 4 of them to be considered for a diagnosis. I myself do have the malar rash and I do have the pos ANA, pos SSA and SSB and pos RNP and I can not remember the rest of them right off of the top of my head, but still like I said there is such a thing as Sero-negative Lupus. I just think that you need to see a different Rheumatologist. I am sure there will be others that come in here that will have more information for you.
Lupus for many years. Like most of my life. Sjogrens that started at 35 and Scoliosis, Spinal Stenosis, Degenerative Disc Disease, Osteo-Arthritis of the spine, Ankylosing Spondilitis, Periferal Neuropathy, mild CP and now just recently diagnosed with PA. I had a disc replaced in December of 2007.
Plaquenil, Sulindac, Imuran, Celiac diet, Tramadol and B12 shot once a month.