instruction: hi doctor I have hyperthyearoidism I also have tendinitis in both my shoulders I have been having joint pain for years and I work a lot of physical jobs lots of bending kneeling lifting and twisting I hang my hands quite a bit as well I have been getting hives for the last two months I have been using tide and gain in my laundry for eight months my mom is allergic to tide my endocrinologist mentioned lupus because of joint pain and hives I have an appointment with a rheumatologist in four months I am considering changing my detergent back to see if the hives stop could it all be coincidental how long would an allergy take to show I have always thought it was the onset of arthritis I never got a butterfly shaped rash on my face I am currently taking methimazole 10 my multivitamin and gianni birth control
output: hi well the hives do go in favor of urticaria it can be a part of lupus or can be independent as well but usually it is an autoimmune process triggered by some allergen it is possible it is detergent in your case but the joint pains you have do not really point towards lupus since it is only restricted to the shoulders most of the time shoulders have a mechanical cause that is you are overusing it in the wrong way but never the less since your appointment is far away I would suggest you get a few tests done even with urticaria we do these tests meanwhile change your detergent and take a course of antiallergics and see if it improves you can let me know the results when available abc complete blood count ear erythrocyte sedimentation rate ana antinuclear antibody cop reactive protein ultrasound of the shoulder anti allergics with reports