@gently thanks for the recommendations. Derm Biopsy wasn't conclusive : could be this could be that. I will get the ENA ordered. I have seen rhem DRs at Jefferson and John's Hopkins. Head rhem Johns said def auto immune he just didn't know which one. This was years ago. Complement C3 is also high. Other people may have 1:80 but don't have the inflammation and other symptoms I have. Why would the joints or ligaments get inflamed literally you can see they are swollen and hit to touch then within 48 hours go away? I have what is fairly severe very limiting muscle pain and stiffness. If I do a squat Somedays I can stand back up other days my legs just won't accomplish. I do the non inflammatory diet. I take supplements.