Hi all. I saw my rheumy last week after getting blood work done. I definitely have Hughes (APS) and my HLA B27 is positive, suggesting ankylosing spondylitis. My Ana is negative so maybe not lupus even though I have 7 of the 11 diagnostic criteria. To confirm AS I have to go for X-rays. Mom has psoriatic arthritis so AS would be more likely. I'm 53 and I've had a hell of a year. Ear infections, bronchitis, in the hospital for GI problems, surgery on both my big toes and finally a pulmonary embolism. Now I can tell I've gotten a heel spur..... Very painful. I'm not happy about having an illness but at least it has a name now. I'm not just a nut-job anymore!!!