Ana positive with cle black sharp patches on head and skin with scales extreme fatigue weakness growing day by day getting thinner day to day because losing weight medicine to control ana and for skin and weakness?

It is not feasible to provide a meaningful opinion without additional history, physical examination and may be some tests. Your symptoms warrant seeing a doctor. Start with a primary care provider for an initial assessment and to ascertain if you need to see a specialist. Wish you good health!

I see a need for collaboration between a rheumatologist and a dermatologist. Scalp psoriasis, if present, is stubborn and is best evaluated and treated by a dermatologist. The rheumatologist will order appropriate testing.