I am currently waiting on blood test results. I did have a punch biopsy. And was diagnosed with small fiber neuropathy as well as autonomic neuropathy. This so many strange things have just been going on these last few weeks that are new to me and I don't understand. He's tested me for pretty much every autoimmune disease there is from what I can understand them the test but I've researched. I hope to get my blood results back very soon so I'll have an answer. My rheumatologist diagnosed me with lupus and fibromyalgia period but now he is not sure where weather I have fibromyalgia or lupus. So anybody's guess I guess that's what's going on. Thank you for the reply.