I was first diagnosed with "some kind of rheumatoid arthritis, but you don't need treatment" in 1988. In 2006 I was diagnosed with Psoriatic Arthritis and treated with a biologic for 14 years. In 2021 I switched to a new rheumatologist who finally diagnosed me with lupus. I had asked about lupus from the beginning because I had so many of the symptoms, but was dismissed by at least 10 doctors because I didn't have the malar rash, so it couldn't possibly be lupus. Since my current diagnosis I am on a biologic and plaquenil and feeling so very much better.