hello there! The classic presentation of a triad of fever, joint pain, and rash all points towards the lupus. So dpes the positive homogeneous ANA How many of these complaints you have? Constitutional (eg, fatigue, fever, arthralgia, weight changes) Musculoskeletal (eg, arthralgia, arthropathy, myalgia, frank arthritis, avascular necrosis) Dermatologic (eg, malar rash, photosensitivity, discoid lupus) Renal (eg, acute or chronic renal failure, acute nephritic disease) Neuropsychiatric (eg, seizure, psychosis) Pulmonary (eg, pleurisy, pleural effusion, pneumonitis, pulmonary hypertension, interstitial lung disease) Gastrointestinal (eg, nausea, dyspepsia, abdominal pain) Cardiac (eg, pericarditis, myocarditis) Hematologic (eg, cytopenias such as leukopenia, lymphopenia, anemia, or thrombocytopenia) the more you have the more the Odds for lupus. As your ANA is positive Homogeneous It has pointed lupus further but ANA is not that specific. You need to do Anti Double stranded DNA and Anti Smith antibodies to confirm. You need a detailed workup for SLE, Anticardiolipin, Lupus Anticoagulant Complete blood count (CBC) with differential Serum creatinine Urinalysis with microscopy Erythrocyte sedimentation rate (ESR) or C-reactive protein (CRP) Complement levels Liver function tests Creatine kinase assay Spot protein/spot creatinine ratio Brain MR scans joint effusions arthrocentesis and last but not the least RENAL BIOPSY to Assess the severity of lupus nephritis. You need a whole panel of Rheumatologist Infectious disease specialist Neurologist Pulmonologist Cardiologist Gastroenterologist Nephrologist Dermatologist Hematologist High-risk obstetrician( if female with plan to pregnancy) A simple steroids wont help. So what are you waiting for. Grab your coat and see the nearby rheumatologist to start it. You need to control the progression and care for your vital organs if you need to survive. Take care of yourself Regards Dr Khan