Seeking diagnosis

I'm currently diagnosed with PN and lichens sclerosus. Although through the years ive come up with many ANA positives some with high titers, I have no other diagnosis for my chronic inflammation. My RA test was negative, the only other thing that was flagged was an elevated DSDNA. So was tested for Lupus but my Complements were normal. It's been around 5 years since I last saw a Rheumatologist and am seeing a new doctor soon. I have pictures of flares and want any advice on going at this again as it is disheartening. Thanks!