This is going to sound strange and I hesitate to even say it…but after 10+ years of diagnosing and caring for lupus patients, I feel like I can “smell” lupus. It’s weird, I know. But when I’m approaching a consult, whether in the clinic or in the hospital, my lupus-spidey-sense gets activated if the patient has lupus. When I teach young doctors-in-training and listen to their long list of possible diagnoses, I get excited but also impatient, waiting for them to reach the same conclusion I’ve already reached.
Now that’s not to say that I’ve never been wrong. But it’s really just about pattern recognition. The tricky thing is that there are LOTS of patterns that are possible with lupus.
