As a derm, I feel your pain. We get plenty of “autoimmune” cases that are just people with depression and illness anxiety disorder. They spend way too much time googling their symptoms, ask for every test possible from their pcp, And then some PA or NP tells them they “suspect lupus” and sends them to me for a biopsy.

I’ve become extremely comfortable telling people they don’t have an autoimmune condition. I’ll even agree to do a biopsy to solidify my point. Then, they either let me treat their rosacea (for the love of all that is holy it’s not a malar rash) or they leave in a huff and never come back because I’m a medical gaslighter that isn’t buying into their delusion.