@cjd19 I had terrible fatigue and pain everywhere. Also dry eyes, dry mouth and a rash for a year or more. My doctors just shrugged it off because my labs were normal. Then I was looking for options for osteoporosis and wanted to see a rheumatologist in light of my pain. I had a negative RA and my doctor told me I would not been seen by their rheumatology department because of it. I found a rheumatologist and said he was confident I have sero negative RA. He did more labs. I went to a different dermatologist for the rash and found out it was lichen planus on my legs and torso. My labs came back positive for SSB and ANCA PR3. Which was kind of a surprise because they were very high! I was already on hydroxychloroquine for RA…helped some for both RA and LP. My rash disappeared after a couple Rituxan infusions. I was miserable on the prednisone and finally got off it after 6+ months. But I still didn’t feel awful. Then I developed a Vasculitis like rash. We decided to stop the hydroxychloroquine and will have two more Rituxan infusions next month…I was hoping for sooner but they are booked until then. I have pain but the rash is much better and I feel so much better. I am hoping the Rituxan will make a big difference by itself because I don’t really want to take more drugs!