Okay I got an urgent appt with my rheumatologist tomorrow so I will see what he says. I will attach my ana ifa just says positive. My ana titer says 1:40 with a nuclear speckled pattern. I get a red rash on my cheeks and chest when I am in the sun/heat for even a second but it doesn’t go over the bridge of my nose. Cbc and cmp is pretty normal. Mildy anemic