sjogrens also comes with additional symptoms like joint problems etc etc, so that could explain it all, plus the ANA. Has anyone suggested a lip biopsy ? I read someplace (but could never find it again) that the higher ANA's tend to be associated with Sjogrens, but who knows.

Sometimes, as frustrating as it is, all that can be done that is to follow a person over time and see what develops. Your symptoms certainly are suggestive of something autoimmune going on. The good news is that in terms of treatment it doesn't really matter if they come up with a dx or not, as these diseases are treated symptomatically so you can still receive all the treatment that you need even if you are undiagnosed. I have a cast iron dx, but am still treated symptomatically as that is really all that can be done.

cheers

raglet