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Just now seeing your post, but a couple of thoughts and questions: Adrenal failure is Addison's Disease. Cushing's is the opposite-an excess of adrenal hormones. Prednisone is one of the treatments for Addison's (low adrenal hormones), but 4 mg is inadequate dose. It needs to be at least 7.5mg a day to match the normal production of body. Why did they think she might have lupus? Does she have kidney problems causing all the swelling or more like an allergic reaction with hives and itching? Have they tested her for autoimmune thyroiditis? (hashimoto's) If the extreme nausea and dizziness is caused by motion, she may have autoimmune inner ear disease. It causes vertigo (spinning) and nausea with movement of head or body. Can also cause ringing in ears. An ENT should see her for that evaluation. There are meds. like motion sickness meds, that can help, plus certain diuretics. These symptoms are more than dysautonomia, but that condition can occur in lupus. If that is what she has, 4 mg Prednisone is a tiny dose. She may need 10X that much (40mg) a day initially. I think you should have a good sit-down chat will all her Drs. and make sure A. they are talking to each other and B. they are keeping you updated on their thoughts and explaining things. A team conference can be requested with Drs. and nurses and family together.

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