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Could I have lupus since childhood, and it has just been in remission stage?

I went to a PCP to try to get help to regulate my periods, and for a regular check up. My blood work came everything looked normal except ANA titer(Speckled Positive 1:40).I have always suffered from anemia, very low I am always cold. I have a bumpy, groovy like dark mark on the middle of my back, it has always irritated me. It formed over 14 years ago, I thought it formed because of nerves( I was nervous and paranoid in fear of my dad coming to take me away from my mom after a divorce).So I began scratching the middle of my head( which has a bump and hair never grew back), my back, my ear lobes,pinky finger(skin around the nail), the back of my knee cap, and my clitoris always itch and bothered me. My ear lobe above my ear ring whole is bumpy groovy and dark also.My cuticles on both pinky fingers have a different texture of skin, thick, hard and dark and itchy. And my clitoris hood itchy even with Nystatin cream it still brothers me, with heavy discharge. I have had abnormal periods since puberty. When I first started my menstrual I bleed everyday for an whole year, heavily. After that year they just come at any given moment sometimes I can go 6 months without seeing one. I have kids so conception wasn't a problem. Lately I haven't being having any energy, and in the morning my arms hurt. I don't have an appointment with the Rheumatologist until September and it's only April! Could it be lupus? Could it be that the mark on my back formed not because stress but because lupus?
Here is  a image of my back:
https://dl-mail.ymail.com/ws/download/mailboxes/@.id==VjJ-McLMwv4FVzKGJBolGbFq1_To0rzTdEJxDVQLBHHu_S7MT9UEbRTdroDKseC3Y32uGl2LEeEb8L4Fd0GBJs5fOA/messages/@.id==ABMNiWIAF6ArWOxH0APQkBWzT0Q/content/parts/@.id==2/raw?appid=YahooMailNeo&ymreqid=6803febf-f139-98cc-01fd-aa00a2010000&token=zitEzqOML3j84e6ealFTT5U7-km5qEQF52lp7AcCuBZZoR3Ugv3E6ZE9hvDaWovBPbFRTARnS-kkhJpgvF-bLWVq8PuVJvftoDeQfmqGq-zhBLnz2bZQufgc5_eQwIX-
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434278 tn?1324706225
There are other things that can cause an elevated ANA.  Your level is low and might not be too much of a factor.

Have you had a dermatologist look at your back and fingers?  That would be my suggestion.
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