Can i have lupus if my ana is positive, tired is 1:320 homogeneous diffuse, but ena panel is negative. i do have some s/s?

See a rheumatologist: For assessment, lupus isn't an easy diagnosis to make, an expert would better help you, good luck

ANA 1:320: Not all autoimmune disease are totally differenciated into discrete diseases and also markers may appear over time, not initially . What was your double stranded DNA? Complement levels? Rheumatoid factor? Can get false positive ANA from RA, mono , Crohns, viral infection, thyroiditis(check TPO,), meds , silicon implants and 5% healthy. f/u w/ rheumatologist