Hello Maria, I am Dr. Arun and will be helping you today.Since you have been diagnosed Graves disease which has an autoimmune basis, there is a possibility of another autoimmune disease affecting musculoskeletal system with your history and symptoms. Thus you should be investigated by a rheumatologist or clinical immunologist. The diagnosis of lupus is based on a combination of clinical findings and laboratory evidence. Lupus has following manifestations (any 4 out of these would strongly suspect of Lupus);1) Oral ulcers2) Arthritis / Joint pain / joint swelling3) Issues due to light and sun (Photosensitivity)4) Abnormal blood test / autoimmune test.5) Kidney involvement6) Antinuclear antibodies (ANA)7) Positive blood tests like dsDNA; anti-Smith [Sm] antibodies8) Neurological disorder9) RashesYou would also need following investigations;1) ESR or CRP results2) Complement levels3) Liver function tests4) Creatine kinase assay5) Spot protein/spot creatinine ratio6) X-ray of the jointsThese should be able to ascertain the cause of your symptoms. Lupus may be a small possibility with your manifestations.Please feel free for your follow up questions.
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