I have positive ANA and CK of 277, red flat rash on nose and cheeks, mouth and nose ulcers , fatigue, protein in urine, have  muscular pain, swelling and warmth, weight gain, swollen legs, and the rheumatologist doesnt want to admit that I have lupus.  I was diagnosed with fibromyalgia 15 years ago,  but everything is much worse, and new symptoms keep showing up.  Should I get a second opinion?
Hi. Your description seems to fit into a diagnosis of lupus, unless you have read about it and exaggerated your symptoms. But I think if you really have had all this, you better take a second opinion from another Rheumatologist, since all these symptoms and signs occur in Lupus. Thank you.