In 09 my Ana was 1.140 I complained of achey knees, fatigue. In 2010 (11 months) later my Ana was 1.640 both test said Positive speckeld. I am at times uneplainably tired, to a point it worries my sister who is used to me going and going. I am 39 I have a rash on my nech should and lip. Today I went to dr. and he gave me some cream and said I was nuts. Often I feel pulling in my chest and get this hot burning felling in my toes. THe Rheumy said I don't have lupus and he is clueless why I am tired or why my knees hurt. HE ran A SSA SBA that said negative. BUt I am not comfortable with their diagnosis. They make me feel as if I am a chronic complainer!