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ITP (Immune Thrombocytopenia) is an autoimmune condition where your immune system attacks your platelets, causing low platelet counts. Having both Lupus and ITP is not uncommon since they're both autoimmune conditions. The symptoms you're experiencing (joint pain, bruising, numbness) can be related to both conditions working together.

Treatment should be coordinated between your doctors since having both conditions can affect treatment choices. The bruising you mention is a classic ITP symptom that needs monitoring. Stay in touch with your healthcare team, especially if bruising increases or new symptoms develop.

When you have both ITP and Lupus, here's what happens:

Your immune system attacks both platelets (ITP) and various body tissues (Lupus)
The combination can cause:
More severe bruising and bleeding issues
Increased joint pain and inflammation
Higher risk of blood clotting problems
More fatigue than either condition alone
Your symptoms (joint pain, bruising, numbness) may be from both conditions working together. With diabetes too, it's extra important to:
- Keep all doctor appointments
- Monitor bruising closely
- Report new symptoms quickly
- Follow treatment plans carefully