It is hard when you have FM and an autoimmune disease.
Typically the only way to tell is via your bloodwork.
Have they checked you for costeochondritis? It can cause the same symptoms and often comes along with the pleurisy.
The best thing I have ever taken that helped is prednisone.
Fibro does NOT cause pleurisy. However people with fibro are more prone to is.
The big risk of pleurisy is pneumonia. If it hurts to breathe deeply, you wont. this will increase the risk of pneumonia.
My doc is fairly agressive in treating it as I am prone to pneumonia.
Hope this helps
Yes, I got costrochondritis, too.... had that since I was 22.... 34 now.... So, that has plagues me for years and not one doc gave me prescription meds for it.... until I got lupus and fibro. Then I was given naproxen, which did not help, so my doc said stop taking it. But, I never heard of pleurisy and fibro. And she kept saying it was from lupus until our last visit, like she just got tired of me bringing it up..... So, don;t know what's up with that twist.
Haven;t been offered steroids yet. I keep hearing that that works wonders, but I feel weird asking the doc for drugs, since she is the doc and I am the patient, but, maybe I need to. Because between the chest pain and the rib pain, I'm in pain!! (No kidding, right?)
I'm just a tad bit worried about pneumonia. That' why I posted this. I have never been this sick for two weeks, and I finally had no flare, then I went on the trip, and had some leg pain, then got this infection.... But, I don;t know if I should go back to the doc or not..... It's just frustrating..... But, I gopt the weekend to think about it, and see where it goes.
Thanks for your comment!