Question: Good evening. We have a ten year old son who has some sort of autoimmune disorder. At this point, it is being called Auto Inflammatory Disorder-Not Otherwise Specified With Lupus-Like Symptoms. He gets joint pain, Gross hematuria, especially with illness, HUGE canker sores, a "butterfly" rash with sun exposure or fatigue, gross fatigue, fragile and ridged nails, especially toe nails. Lately, though, he is getting HUGE sores on his tongue that look like the first few layers of tissue have been scrapped off. They are painful. It is worse with acidic food,but they are sometimes there without acidic food. Can Juvenile Lupus cause these large, peeling sores on the tongue?

Thank you! He has had positive ANAs in the past, the first one was when he was 4. But, he is now on Celebrex and Plaquenil, and they have not been duplicated since. He has many of the other symptoms, though, as well. There is a bit of an argument between his various docs... Rheum doesn't think it is Lupus while his Derm, Pain, and Immunology are thinking it is more likely. But, since he doesn't have a current +ANA, Rheum doesn't think so. But, they did admit that the Plaquenil use could be masking it. He is an anomaly, for sure. Every few months, something new pops up. He used to get HUGE canker-type sores in his mouth between his teeth and lips and his bottom lip often splits and bleeds, but these have lessened since the Plaquenil was started. But, the malar rash with sun exposure and the tongue sores are new as of this summer. Thanks for your help!