ANA: A nucleolar pattern of an elevated ANA is seen in scleroderma and crest syndrome. Further evaluation might include an scl-70 kd kinetochore (anti-topoisomerase i), and pm-1. If these have not been done you might want to be seen by a rheumatologist. This may all turn out to be non-specific, but better safe than sorry. Good luck.
Answered 6/10/2014
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