my daughter had her first out break in 2008. Lasted for about a week. Then went away and just came back april!15, 2016.... This time it is horrible. Her rash clears up when she is pretty much bed rest. Her choice... Then as soon as she gets on her feet it's back. She stays tired all the time.... And now t had been affecting her kidneys.. We currently talk with a rheumatologist and also see a kidney specialist... Right now they are just watching kidneys. She also has diagnosis of autism mild, chronic constipation since birth, precocious puberty ( started going through puberty at age 3) has a low thyroid, borderline diabetic, and her chelstrol is bad. She is only 12. I'm thinking all her problems are related somehow. Just haven't found the connection.......