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A member asked:
50 y/o male chronic neck & lbp, headache, shoulder pain, bilateral hip pain. normal cbc, ck,cmp,esr,crp,vit d,rf. ana 1:40 speckled. more workup?
6 doctors weighed in across 2 answers
Seronegative : spondyloarthropathy still a consideration. Perhaps plain films with attention to si joints and Ls spine.
Answered 3/31/2015
3.4k views
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Yes: anti double stranded DNA, to try and confirm lupus. anti ssa and ssb, r/o liver or thyroid disease, since sjogren and the latter 2 can cause positive ANA.
Answered 10/6/2017
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