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Onalaska, WI
A 28-year-old female asked:

sacroilitis, achilles enthesitis, hla b27 negative, ana 1280 homog/speck, sed/ra norm, ena neg, cbc norm, kidney/liver norm, multiple lupus symptoms?

2 doctor answers4 doctors weighed in
Dr. William Lages
Rheumatology 68 years experience
Spondyloaryhropathy: Sacroileitis and Achilles enthesitis are usually found with a group of disorders called spondyloarthropatjies. This includes ankylosing spondylitis, Reiters syndrome and several others.. It is not characteristic of SLE . These disorders do not always have a positive test for the HLA 27 trait and may not have inflammatory markers early.
Dr. Dustin Colegrove
Internal Medicine 12 years experience
Lupus is not: diagnosed by just lab values, but also upon symptoms. Discuss with your doctor regarding your symptoms and consider rheumatology consultation.

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