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Hello,
new member here.
I have experienced several general symptoms over the past couple of years.
fatigue, joint pain & stiffness, a full face rash that was diagnosed as roseaca (humm), sunsensitivity and so on.

The latest is that I have noticable lumps (can see & feel) at both ankles
and both wrists. Not painful but achy.

I just has a blood panel done for a life insurance exam and all the typical
stuff is with normal range.

So I went to general doc thinking maybe RA due to matching joint issues but RF and CCP or CRP normal BUT the ANA-direct is 175 (under 40 is considered normal).

Not much info on this direct test...Can anyone give me a comparison of this
result and to what a percentage reading from a standard ANA would be.
Several years ago I had a std ANA result of 1:120, at the time similar physical
symptoms but the doc then said lupus is not considered with anything lower
than 1:600 result.

I have an appt with Rheum. Doc on the 8th of Dec.

I don't have med insurance so am trying to be as practical as I can but
really need to figure this out...starting to impact my everyday life.

thanks to all for your help
Leslie
Hi leslie,

For some reason, every ANA test I've had (about 6) have been sent to a lab that reports ANA Direct only, so I too found it confusing when all the information talks about 1:320, 1:640, etc..

Mine generally runs around 700 (direct), normal range being 0-100. But one thing I didn't notice until recently was an "H" after the number, which refers to it being "homogenous." That pattern indicator can provide your doctor with a clearer picture, making lupus a "more likely" or "less likely" anyway.

Always ask for copies of your test results so you can see everything. I had another blood test return highly positive as well that they never mentioned, and I would never have known if I hadn't asked for copies.
Thanks for the supportive comments

Saw the Rheumatologist monday and she ordered rssa & rssb, tsh, and another ana w/ titers and complete blood panel.
Also confirmed arthritis in my knees (ouch)
Next appt Jan 5th.

Again thanks for the kind words and info
[QUOTE=MarilynM71;3818387]Hi leslie,

For some reason, every ANA test I've had (about 6) have been sent to a lab that reports ANA Direct only, so I too found it confusing when all the information talks about 1:320, 1:640, etc..

Mine generally runs around 700 (direct), normal range being 0-100. But one thing I didn't notice until recently was an "H" after the number, which refers to it being "homogenous." That pattern indicator can provide your doctor with a clearer picture, making lupus a "more likely" or "less likely" anyway.

Always ask for copies of your test results so you can see everything. I had another blood test return highly positive as well that they never mentioned, and I would never have known if I hadn't asked for copies.[/QUOTE]


Meaning what, does homogenous lean toward a diagnosis of Lupus or not? I have always had positive ANA's 1:320 with a homogenous pattern, but one tested negative, even though all the other tests were positive, so this immune system problem was thrown completely out of the window, and I am still very sick. But with that one being negative, my doctor said likely nothing was ever wrong there. But if your in remission, it can go negative, right?





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