Pinky, my mom also has lupus, sjogren's and rhuematoid. She is allergic to most meds and takes only prednisone. One thing her doc told her is that she is sort of lucky that she has all 3 rather than just lupus. He believes that having more than one autoimmune tends to keep the organ involvement to a minimum. In her case, she probably had lupus etc for a good 15 yrs before diagnosis, for a total of over 20 years. She has slightly elevated (but stable) liver enzymes but no other involvement.