Hi Cynthia and welcome -
I wanted to chime in on the positive ANA and fibromyalgia. I was dx'd with Fibro in '98 - when I was 44 (I'm 58 now). It came on after a very serious "mystery virus" that had me jaundiced with major liver inflammation, fever for weeks and utter exhaustion with muscle weakness and joint pain, weight loss and rash. It took me a good 6 months to semi-recover from that (I would still get very fatigued and sometimes feverish if I did too much) and I had to quit my job after trying to return part time twice. Fever came back along with the rash, etc. The doctor never did figure out what the source of the virus was - I knew nothing about autoimmune disease at the time, but it certainly felt like they checked me for everything under the sun. None of the viral hepatitis tests were positive, but my liver enzymes were in the 600's.
Within a year, I returned to the doctor with malaise, fatigue, and muscle pain that she dismissed as "a little fibro" and told me to exercise. It's not an uncommon story. I limped along with the fibro diagnosis - good days, bad days, horrible days. In 2005 I had another onset of the fever, and all the same symptoms only milder. This time the doc sent me to a rheumatologist who ran ANA and all the other AI stuff - and at that time it was negative. I tried Neurontin for a month, but couldn't tolerate it. This rheumie concurred with the fibro DX. I felt strongly that something else besides fibro was going on with me. In the meantime I was suffering with back pain and disc trouble, yada yada.
I changed GP's and when I asked for the records, what I got had nothing recorded from '97 - so I'll never know if I was tested for autoimmune disorders that first go-round. In 2007 I was sent to a different rheumatologist by the new GP, after additional problems surfaced. This time the ANA was positive - with similar results to yours. That rheumie suspected Lupus, but none of the other test results were conclusive for it. She kept testing me every couple of months and the ANA continued to climb, with two patterns, like yours, and eventually put me on Plaquenil.
The thing about fibro is that the rheumie initially said fibro would not cause a positive ANA, which indicated an autoimmune disorder. Then she said the opposite. If you research it you will find both opinions, though the predominant one is that fibro doesn't cause inflammation or a positive ANA. However, (I'm finally getting to the point - sorry about the ramble) it is not uncommon to have both problems. The usual thing is to develop the Lupus and then the fibro follows, according to what I've read. So be forewarned, it may not be an "either-or" situation, but more of an "and". I was also told some people could have positive ANA's with no symptoms. If you are feeling better on the Lyrica, that may be a clue. (Gathering clues becomes a full time occupation for a time.)
After 3 years on Plaquenil, my diagnosis remains Undifferentiated Connective Tissue Disease. ANA remains positive in the 1:320 range (bumping up and down a little) with nucleolar and speckled patterns. Symptom-wise I line up with Lupus most closely. The Plaquenil has helped immensely, though it was slow to get going.
I hope you get your answers and the treatment that you need very quickly! The waiting and not knowing is trying. There are so many AI disorders, with overlapping symptoms, and it's challenging even for the rheumies to come up with a sure diagnosis. The forum is a great place for support and information.