... Hi. I'm just a patient so please read in that light. I believe that in the normal course of fighting off problems, C3 and C4 may fluctuate somewhat. But that said, in lupus they often fall below normal levels. It looks to me that your latest C3 is on the cusp of being too low, so I imagine a doctor would follow up on this value.
Elevated sed rate can suggest inflammation.... (11 replies)
... Hi, Stacey. Here's what I *think* I know, but you need a real doctor, obviously. But once again, I think you're asking the right questions!
Proper diagnosis and unique treatments needed? Yes, for both lupus & Sjogren's. Goal is to suppress production of unwanted, damaging autoantibodies. These useful meds aren't prescribed without a proper dx.
For milder lupus (meaning... (62 replies)
... Hi. This appt. seems to me to make much more sense, at last! I think very often a GP runs an ANA & stops right there. Because ANA is a general test (it may be positive in multiple conditions), if it comes back high, next the rheum runs it again, also adding tests for "ANA subtypes" (the ENA you mention). The ANA subtypes (such as anti-ds-DNA, anti-Sm, anti-Ro, anti-La,... (62 replies)
... The T cell and B cell count are very important in lupus, and this may be your most important test result thus far. Your results are consistent with lupus, although other illness can cause the same, mostly autoimmune connective tissue diseases. ... (29 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)
... I will be extremely interested to see what the rheumie tells you. I too have suffered the same symptoms as you for two years, including a persistent rash. I had my rheumie appointment about two months ago and had a positive ANA at 1:320 with similar results as you. The rheumie I saw said the positive ANA didn't mean anything, that I had fibromyalgia, and dismissed me with no... (15 replies)