This is Shar. I'm new to CarePlace but I know a bit about lupus and I agree with Mel 2006. Lupus seems hard to diagnose but once the symptoms are rounded up and identified, the next step is to learn how to cope with them.
Mel's advice about a Rheumatologist is right-on but ask questions first and find one who has real-life experience with lupus and lupus patients, not just the medical background. Even then, it can be iffy. The first doctor may not always be the keeper.
Once, I went to a rheumy I loved right-off but had my high hopes dashed. She seemed knowledgeable but declared me to be in full remission, saying I could “go run in the sun with no effects”. Yeah, sure! First, my symptoms were raging, so, no remission there. Second, even in remission we can’t follow such outlandish advice or - poof - remission gone and flare in fiery flames. My rsponse? Poof - I was outta there!
It's also possible that, even though your sunscreen is nicely powerful at 60 SPF, it might not be hypoallergenic and might be causing some of the spotting. Please check the bottle or tube's list of ingredients. You know, we're allergic to nearly everything synthetic and even some things that aren't, such as, sometimes, wool and plenty of foods.
Our best protection is accurate information, used wisely. I recommend you check out sites such as The L U P U S web site (LUpus Patients Understanding & Support) http://www.lupus-support.org.uk/ and the Lupus Foundation of America (LFA) http://www.lupus.org/
I’m a lupus medical researcher and writer and have done some writing on the clinical studies into nutrition and how it affects lupus. So much good came out of these studies that it always hurts me to realize how few of us even know about them considering how much of a difference their results can make in our lives. You can visit my site and read Lupus and a Wolf-Wise Diet http://lupusnewslog-articles.blogspot.com/2005/10/lupus-and-wolf-wise-diet.html for info drawn directly from those clinical studies. With any site, just investigate their information, if they have forums get to know some of the people there and see what ideas they have to offer and how they work for you.
I wish you better health!