Ten years from a positive lip biopsy for Sjogrens to seroconversion to a highly elevated ANA, low C4. Also have severe PN which was diagnosed in 2004, but I had it much longer. It was insidious so, I didn't know what it was. I had Lyme as well, in 94. They are still debating over my diagnoses.

It sometimes takes time for the full clinical picture to evolve. Hope you find answers soon.