Hi everyone. I am a 48 year old female with a very long-standing dx of Sero neg Lupus/UCTD in the absence of any better suggestion. I have low C3C4, occ raised ESR but other markers are normal. One of my biggest problems is recurrent bouts of inflammation in my knees with pain, redness and swelling - often too severe to get my foot to the floor. My Rheumy has never seen my knees (just photos) but, although I definitely get some episodes of joint effusion, the more frequent bouts target the join in random places between my kneecaps and the tendons/ligaments of my upper leg (occasionally the border of my lower leg).

I have read on a UK forum about something called Enthesitis and I wonder if this is what I experience? If this is the case, would this fit with a dx of SLE/UCTD? It seems more typical of Spondylarthropathies from what I have read. If not, do I need to flag this up with my Rheumy - would the management change? Currently I take Hydroxychloroquine 200mg, 1.5g Mycophenolate and 6mg Prednisolone but the attacks keep coming - once or twice a month, worst between April - September.

Would be interested to hear your thoughts. Many thanks. Clare