... Sockie, I've never read that a rheum MUST find *specific* AB's (AB's = autoantibodies) to pin down a dx more refined than the generic "CTD", but one sure senses they look for them! (The ACR criteria for each of these conditions are likely to contain one or more specific AB's, but with most of those criteria lists, a patient only must fulfill "some" criteria.) Another thing... (7 replies)
... Hi & welcome. I'm really sorry you're encountering confusion on top of your real issues! In your shoes, I'd read the "sticky posts" (permanent info posts located right above the user threads), then head straight to the library to borrow lupus hardcovers. One in particular does a terrific job in explaining how lupus is differentiated from other rheumatic diseases & also... (4 replies)
... There's no single test for lupus, which is why you see instead those 11 diverse criteria. ... (7 replies)
... Hi! Sorry you got no responses. I did find your other 2 posts using the advanced search with your user name, but never saw the originals. Anyway, pleurisy can be caused by many things, including lupus. When you went to ER, did they do a chest xray? Usually anti-inflammatories work somewhat, but you may just need to be on the Prednisone again or a little longer to get it to... (1 replies)
... Sm, so I guess my rheumotologist will test that and I'm sure other things. I haven't had a urinalysis yet, so I'm sure they'll do that as well. ... (7 replies)
... I have an appt. to get a second opinion for my infertility next month and I will bring all this up with him as well. Hopefully he'll agree to test me for the antiphospholipid antibody syndrome. Is this just 1 blood test? ... (6 replies)
... Lori, Where lupus is a possibility, I think elevated B.U.N. and creatine in bloodwork are signs kidneys aren't filtering properly. (I just reread your original post & realized you said those values were NOT QUITE out of range.) And urinalysis includes checks for "urine casts" and for protein in the urine, which are also signs of abnormal kidney function.
Have they... (6 replies)
... DNA with a negative ANA. Just to note, you can still have children if you have APLS, they don't all end in miscarriages. A miscarriage is just a red flag to test for this. I never understood why people who miscarry, aren't automatically tested for this. ... (6 replies)
... DNA is just one test that is specific for lupus. Although yours is a low positive, the number may change over the next few years and it should definitely be watched. ... (6 replies)
... My dr. had said all my tests were fine. The ANA screen came back negative though. Should I inquire about the Anti DS DNA? ... (6 replies)
... I remember having a blood test done a while ago when I was being worked up for something else, and the test said something about being positive for anti ds-DNA ase, and I know this is an antinuclear antibody, but does it mean that I'm going to get lupus at some time in my life? Or does it just mean that I had inflammation or something? My aunt has lupus, scleroderma, and... (1 replies)
... Hi. Do you have hardcopy of the labs, or were results read over the phone? My lab prints out-of-range vs. in-range values in separate columns.
For anti-ds-DNA, my lab uses these ranges, BUT there's no guarantee your lab uses the same. For something this important, I'd ask the doctor for hardcopy.
< 25, Negative;
35-99.9, Weakly Positive;
100-200,... (2 replies)
... DNA test was done. ... (3 replies)
... Hi. Apparently anti-ds-DNA can vacillate: it can be higher just before, or at the start of, flares; and once it turns positive, it stays positive. I don't know that it's a titer test, though (sorry), you'd have to ask. Unfortunately, if the reference range on the report says >10 is positive, then >20 appears to be solidly positive, but you should confirm with someone familiar... (3 replies)
... your test results. ... (3 replies)
... Thanks for your input VeeJ. The followup with my GP is open. It's pretty much up to me. I can see him on fairly short notice. Since I posted my message I have done some reading and I see that many rheumie's diagnose a patient with Lupus based solely on the anti-ds-DNA. Makes sense if it is very selective and it is so hard to make a diagnosis otherwise anyway. I'll discuss this... (3 replies)
... if he didn't run that test yet. I hope you keep posting here. Keep at it! ... (3 replies)
... Destiny, hi.
Your first question: I think there are two different measuring systems for ANA. (1) The first is a simple ratio, like the 1:40 you mentioned. I *think* some experts consider 1:30 (and above) to be high. (2) In the second measuring system, the number doubles for each dilution. Examples: 1:80, 1:160, 1:320, 1:640, 1:1280, etc. I *think* some experts... (3 replies)
... and my Anti DS DNA result was positive, no number was listed. ... (3 replies)
... On my last bloodwork, the results were back to my doctor's office within a week.
On my lab work, the normal reading for anti-DS-DNA was 0-4 and mine came back at 47.
Good luck with everything and let us know how your results turn out.
Tricia (3 replies)