Many possibilities.: Lupus is certainly possible with +ana and high rnp, rosacea, but so are other diseases. Scleroderma can have +ana and fibrosis/scarring of many organs. Sarcoidosis also can have granulomas of many organs that can appear to be scars and purple lesions on the face, fingers, and knees and would need biopsy for diagnosis. Sjogren's syndrome also has high rnp, +ana, and dry eyes, mouth, and skin.
Answered 4/16/2019
5.7k views
Agree with Dr. W.: It is not feasible to provide a meaningful opinion without additional history, physical examination and may be some tests. If you have not done so, you should consult a rheumatologist.
Answered 4/17/2019
190 views
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