I've has one positive ANA titre 1:160. Then I've had elevated dsDNA while ANA is negative. I've been really sick since 2014 with no real answers. I have all symptoms I see for lupus except malar rash on face but I'm super sun sensitive so stay indoors. I have hemorrhagic cystitis, vasculitis, and years of seizures and migraines. Joint pain to the point I use cane now. Spondylosis, stenosis and scoliosis so back pain is a given. I thought I had Behcet's but rheumatologist thinks it sounds like lupus. What if my tests never turns positive? Is that possible? And can I still have lupus?