Hi, I am a 24 year old female who has been struggling with extreme fatigue, Reynaud's Phenomena, Pain my neck, pressure under my ribs on both sides, numbness and tingling in my hands and feet, muscle spasms, bowel problems causing horrible, sharp pain in my LLQ (not brought on by anything specific, but does occur at night and is relieved by multiple bowel movements), headaches, memory/focus trouble, depression, Slow capillary refill, lower back pain that radiates into my hips and butt, slow healing, random appearance of a red malar rash on face that feels like it is pounding and hot, low grade fever, and intolerance to heat and cold. My doctors have been trying to figure out what is going on for 8 years, and no one can. I have been to Hershey, John's Hopkins, York, and many outpatient doctors as well. My blood work has consistently shown changes in K, Na, Cl, ranging from low to high. (usually low) My creatinine has gotten lower over time. I have tested positive for a past exposure of Parvo B19 and Epstein Bar Virus, and my other labs are below. Please let me know if you have any idea what is going on! I NEED HELP!

Cerebral Spinal Fluid
CSF Nuc cells: 4
CSF Red Blood Cells: 268
CSF # for Diff is: 11
CSF Neut: 36%
CSF Lymph: 55%
CSF Mono/Mac: 9%
CSF Glucose: 52
CSF Other Cells: 0%
CSF Protein: 42
Cardiolipin IgA: <11
Cardiolipin IgG: <14 GPL
Cardiolipin IgM: 13 MPL
Pserine IgA Ab: <20
Pserine IgG Ab: <10
Pserine IgM Ab: 33
PTT LA: 37 second
Anion Gap: 8 mmol/L
BUN: 11 mg/dL
Calcium: 9.1 mg/dL
Chloride: 103 mmol/L
CO2: 27 mmol/L
Creatinine: 0.76 mg/dL
Glucose Random: 82 mg/dL
Potassium: 3.7 mmol/L
Sodium: 138 mmol/L
Abs Baso Ct: 0.01 K/mcL
Abs Eos: 0.10 K/mcL
Abs Immature Gran Ct: 0.02 K/mcL
Abs Lymph Ct: 3.16 K/mcL
Abs Mono Ct: 0.48 K/mcL
Abs Neut Ct: 7.13 K/mcL
Basophils: 0 %
Eosinophil: 1 %
Immature Gran: 0.2 %
Lymphocytes - Normal: 29 %
Mature Neutrophils: 65 %
Monocyte: 4 %
Troponin I: <0.03 ng/mL
D-Dimer: <0.19 mg/L FEU
Albumin Lvl: 5.0 gm/dL
Alk Phos: 71 IU/L
ALT: 12 IU/L
AST: 14 IU/L
Total Bilirubin: 0.9 mg/dL
Total Protein: 7.4 gm/dL
HCT: 39.5 %
HGB: 14.2 gm/dL
MCH: 30.3 pg
MCHC: 35.9 gm/dL
MCV: 84 fL
MPV: 9.5 fL
Platelet: 300 K/mcL
Red Blood Cells: 4.68 M/mcL
RDW-CV: 13.0 %
RDW-SD: 39.5 fL
White Blood Cells: 10.9 K/mcL
Vitamin D Total: 25 ng/mL
Westergren Sed Rate: 5 mm/hr
Rheum Fact Qnt: <20 IU/mL
CRP: 0.06
ANA Screen: Negative
Anti La: Negative
Anti Ro: Negative
Anti RNP: Negative
Thyroperoxidase Ab: <10 IU/mL
Free T4: 0.8 ng/dL
TSH: 1.52 mcIU/mL
Prolactin: 11.9 ng/mL
ACTH: 14 pg/mL
Cortisol Level: 13.3 mcg/dL