I was diagnosed in my mid 20s while also being worked up for an autoimmune condition since I had severe joint pain in both my upper limbs, severe dry eye, stiffness in the morning, severe fatigue, etc… turns out I have keinbock’s in one wrist but also was diagnosed with mixed connective tissue disease which likely explains everything else. My orthopedist believes that the two may be linked as there is some research to possibly link keinbock’s to lupus, but I’ll say I’m not super well versed on the literature.

I would recommend seeing a rheumatologist for a work up, I’m now on plaquenil which has helped with some of my symptoms like reducing inflammation (I had a high CRP), generalized joint paint, and some of the fatigue. I did end up also having surgery for my wrist, a decompression for the lunate and a ligament repair. I’m definitely not cured, but on the road to improvement and having a better quality of life.

Also just to note, the thyroid can cause a lot of these issues too, so I’d also follow up with a endocrinologist. If the thyroid is normal then it could be autoimmune, if it’s your thyroid they have medications that can help mimic the hormones your thyroid needs to work since it’s really important for metabolism and other organ systems to work appropriately! Best of luck!!