The new and worsening symptoms would indicate your thoughts to be a reality. The butterfly redness is a very real symptom of Lupus, so it could be a comorbidity situation (multiple autoimmunes) that have you spiraling on a wheel of degradation. I would call Mayo Rochester immunology immediately and not quit until they say that they will see you. Time is of the essence. Do not take NO for an answer. The squeaky wheel gets the grease. In this situation. Mayo is where you need to be for autoimmune diseases. God bless you and thank you for your service. Occam’s Razor - All things being equal the simplest answer is probably the right one. What do you think it is and then sell it to the doctors to get them to see you. And do not take no for an answer. Good luck on your journey. “Never never never give up!” Winston Churchil