[21F] With skin sensitivity, joint pain, and fatigue

What might be happening

Based on the symptoms you've described, there are a few potential explanations:

1. Dermatographia (Skin Writing): The welts you experience from minor scratches or pressure could be a condition known as dermatographia. This is a form of physical urticaria where the skin becomes raised and inflamed when scratched or rubbed. It's generally harmless but can be uncomfortable.

2. Autoimmune Conditions: Given your family history of lupus and your symptoms of joint pain, fatigue, and skin sensitivity, it's possible that an autoimmune condition could be contributing to your symptoms. Lupus, for example, can cause joint pain, skin rashes, and fatigue. However, a formal diagnosis would require evaluation by a healthcare professional.

3. Photosensitivity: Your sensitivity to sunlight and the resulting skin blotches could be a form of photosensitivity, which is sometimes associated with autoimmune conditions like lupus.

4. Anisocoria and Light Sensitivity: Anisocoria, or unequal pupil sizes, can cause light sensitivity. This might be unrelated to your other symptoms but is worth mentioning to a healthcare provider.

Typical treatments for these conditions might include antihistamines for dermatographia, lifestyle modifications, and possibly medications to manage autoimmune conditions if diagnosed.

What you can do

For Skin Welts and Burning Sensations:

• Avoid scratching or applying pressure to your skin when possible.
• Use over-the-counter antihistamines to help reduce welts and discomfort.
• Apply cool compresses to soothe burning sensations.

For Joint Pain and Fatigue:

• Engage in gentle exercises like stretching or yoga to maintain joint flexibility.
• Ensure you get adequate rest and maintain a regular sleep schedule.
• Consider keeping a symptom journal using MDandMe to track your symptoms and identify any potential triggers.

For Photosensitivity:

• Wear protective clothing and sunscreen when outdoors to minimize sun exposure.
• Use sunglasses to protect your eyes from bright light.

What you should look out for

While your symptoms are not immediately life-threatening, it's important to monitor for any changes or worsening of symptoms. Seek medical attention if you experience:

• Severe or persistent joint pain
• New or worsening skin rashes
• Significant changes in weight or energy levels
• Any new symptoms that concern you

Given your family history and symptoms, it would be beneficial to consult with a healthcare provider when possible to explore the possibility of an autoimmune condition. They may recommend blood tests or other evaluations to help determine the cause of your symptoms. Remember, while I can provide information, a healthcare professional can offer a formal diagnosis and treatment plan.