Positive ana 1.80 spreckled, alt 7 low high crp & sed rate extreme fatigue, rashes, joint pain, hair loss, mouth sores, migratory arthritis, anemia, etc. mri consistent with proliferative synovitis (i.e. rheumatoid or psoriatic) is this lupus or?

See below: You may consult this site for information about diagnostic criteria for lupus: https://emedicine.medscape.com/article/332244-overview?pa=ck1yQiypUwuLA5VMdDOJ3BQHiOh8fCKz1CZkuQzjcNYdU%2BODsRCqJiqVtT5nvnotB6Zh9Lrq1cT%2FBfcsoWJDY1aycSibeA0Q%2FJsWK%2BpGHzs%3D However lupus is a serious diagnosis and is not a do it yourself matter. Please talk to your doctor. Wish you good health!

I suspect so: The low ALT means nothing at all. Get a Coombs' test to see if your anemia is autoimmune, and of course the essential lupus labs -- anti dsDNA, anti-Sm, anti U1RNP, anti-Ro, anti-La. These labs are prone to technical errors. The real question is, "Do we TREAT you? If so, how?" That's why there are rheumatologists and regardless, you need a relationship with a trustworthy specialist.