A 28-year-old female asked:
Disclaimer

i have recurring flares of rashes, joint pain, muscle aches, debilitating fatigue, dizziness. i have photosensitity and one episode of my wbc at 2.0 years back. my ana is 6:40. i'm on plaquenil. why are all my other antibodies neg for lupus?

3 doctor answers
Dr. Nela Cordero
53 years experience Pediatrics
LUPUS: Are you under the care of a rheumatologist? They know what they are doing and will even tell you what kind of lupus you have, discoid or systemic? Pls ask your md.
Answered on Nov 21, 2020
1
1 thank
Dr. Ed Friedlander
43 years experience Pathology
ANA 1:640?: Concerning for lupus as is everything else you tell me, though the language is somewhat vague. Consider a visit with a second rheumatologist with whom you may have better rapport. Key to rheumatologic disease is the trusting relationship between physician and patient; perhaps the two of you simply did not hit it off, as has happened to me from time to time. Lupus is brutal, you deserve the best.
Answered on Dec 12, 2018
3
3 thanks
Dr. Dan Fisher
26 years experience Internal Medicine
Maybe SLE maybe not.: Diagnosis of rheumatologic disease is generally based on symptoms with support from lab. Sounds like you have a rheumatologic disease and are being treated with a rheumatologic agent perhaps by a rheumatologist. They can explain your particular situation better, but suffice it to say tests are not always right and a single test does not generally make or break a diagnosis.
Answered on Aug 1, 2018
8
8 thanks

90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more. Get help now:

Ask doctors free
Personalized answers
Free
Talk to a doctor
Unlimited visits
$10/month

Related questions:

A 28-year-old female asked:
Dr. Ed Friedlander
43 years experience Pathology
Atypical lupus?: No one knows what lupus really is, and your situation is not uncommon. Many folks like you never get a diagnosis. The empirical treatment you are rece ... Read More
1
1 thank
A 32-year-old male asked:
Dr. Gurmukh Singh
48 years experience Pathology
One screening one: for the specific pattern. ANA is a general screening test. Speckled pattern is further refinement of the test, as there are multiple types of anti-nuc ... Read More
1
1 comment
1
1 thank
A 21-year-old male asked:
Dr. Ronald Krauser
51 years experience Rheumatology
See details: There should be no confusion. You don't have lupus. A malar rash is most often the result of rosacea and the generalized aching and fatigue can have n ... Read More
A 28-year-old female asked:
Dr. Ed Friedlander
43 years experience Pathology
Incomplete lupus?: Your physician may be considering incomplete lupus, in which some features are present but there are not enough to establish the diagnosis. Rheumatolo ... Read More
1
1 thank

90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more. Get help now:

Ask doctors free
Personalized answers
Free
Talk to a doctor
Unlimited visits
$10/month