2 months ago I had a positive (?) ANA 1:80, speckled pattern. I have been having a lot of joint pain, cognitive changes, tremors and fatigue. Above studies were done at neurology. MRI neck and head were negative, except no curvature of the spine. Seen by rheumatology last week. Bilateral knee x-ray positive for Severe DJD, hands with minimal arthritic changes, hips and pelvis normal. I had blood work as well (a lot of it). The only thing that appeared significant is CCP high at 163 (0-19 normal range). Does this appear more like RA or lupus. I also have the dry eyes, dry mouth and vaginal dryness associated with Sjogrens