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There’s a whole bunch of autoimmune diseases that have no cure, no specific blood test and no specific scan to diagnose them - but they are illnesses/diseases. Lupus is just one of them.
Not to things like mental health issues. You can't just scan someone for depression.
They are described as that but that doesn't make it particularly scientific, or at least how most people define it.
I'm not saying all illnesses with no cure, blood test, or scan are inaccurately described or diagnosed, but I am saying it's a pretty good sign. I experience pretty bad Raynaud's(doctors thought it could've been Lupus but I don't have other symptoms) but that isn't enough information to describe an illness, because there are many things that could cause that- describing a symptom or group of symptoms as an illness implies there's some sort of common cause and treatment, other than just treating the symptoms. Until that is found you can't really know it's a shared illness, just a shared symptom.
This is already a major criticism of how mental health disorders are diagnosed