Hi!!! Wondering about having Lupus, RA and Sjorens together. I have a ANA 1:640 (homog) (+) RA factor, (+) Sjorgen...but only one of them SSA. My C3 is high, too. I look fine...as per my "old" rheumatologist...but, I get joint swelling/pain in my hands and fingers on/off. My hand x-rays from 2007 show periarticular osteopenia...I having new ones this week. My face has "red cheeks" ALWAYS...and I have a rash of very tiny red dots all over my body, I'm very fair skinned. I'm having a "boat load" of blood work done today to try to pinpoint the problem...which I know is hard to do. And, I also have slightly elevated thyroid antibodies...that's me in a nut shell. My question is....can I be having hot flashes from any of this Autoimmune Stuff??? I'm in menopause...I had a total hysterectomy at 32, I'm now 42. And, I still get hot flashes, anytime...day or night...winter or summer. It's awful!!! I'm on Plaquenil, just started this week...I'm at a new GOOD Rheaumatologist...who's taking these symptoms seriously. I'm also on Inderal LA 60mg, Mirapex (for Restless Leg Syndrome) and Synthroid (for hypothyroidism). So my question is about the hot flashes and can I have 3 autoimmune diseases at once...LUPUS /RA/SJORGEN together??? Thanks, Jen/NJ