Does the anti-nuclear ab titer and pattern check for lyme disease?

No: ANA (antinuclear antibody) is a relatively nonspecific test for the presence of a variety of autoimmune disorders. A positive ANA may indicate the presence of lupus, rheumatoid arthritis, sjorgren's syndrome, or dermatomyositis. ANA may be elevated in autoimmune thyroid, liver & bowel disease. It may even be seen with TB & hepatitis c. It has not yet been reported in association with lyme disease.

No: Anti-nuclear antibody tests check for autoimmune diseases such as lupus. Some people with longstanding lyme do develop auto-immune disease and might have anti-nuclear antibodies, but most people with lyme do not have anti-nuclear antibodies.