I currently have Dx of psoriatic arthritis, osteoporosis(from yrs of steroid use), osteoarthritis, I now have a positive Ana and send rate of 48, Ana has always been (-) and esr lower, is it possible I now also have lupus. I have had weight loss recently and hair loss. I usually see a nurse practitioner, but she is going to discuss this with my rheumatologist to see if I should start plaqueni, I m now on xaljanz does this seem the reasonable route to take or should I be asking some other questions, thank you