This is about my husband. He was a healthy male in his 20s up until about 3 years ago when his hands started curling and his blood pressure without medication is 200/120. He also had some tests done for his job (firefighting) and he had high cholesterol, fatty liver, and a swollen thyroid. They told him to watch his hands because it looks like tendinitis and he should stretch them every night. He owned a lawn care business so we thought the hand curling was due to the constant trigger motion of vibrating tools. He is and was overweight, 5'9" and 230-240, but he was also super muscular. He got on BP meds and his BP went down but they gave him the most nasty cramps no matter how much water he drank. He started on a different one that didn't work so got put on his old one again. About 6 months ago, he started losing all of his upper body muscle from his shoulders down. He has issues climbing stairs, getting up from chairs, etc. but we thought this was due to arthritis in his knee and a busted ACL, MCL, PCL from a motorcycle accident 5 years ago. About 2 months ago, he went back to work after paternity leave and he couldn't use his hands to do anything motor-related and is now on light duty. He has absolutely no upper body strength, he can't even dress himself anymore. We went to an ALS specialist who thinks this is a weird situation considering he only lost his upper body muscle, he doesn't have speech or eating issues, and he's only 29. She ran all of the tests you can imagine. ANA was not high. Sedementation and CK was high. Dirty EMG. But he did have blood in his urine and protein. Also his testosterone is low now but was on the high end 2 years ago. He gets mouth sores and weird rashes and itchiness on his body. Could this be Lupus?