A member asked:

Pain in mid up back becoming worse. right side flank pain getting worse. ana positive 1:640 speckled. ana panel does not suggest lupus. any ideas?

A doctor has provided 1 answer
Dr. Tarek Naguib answered

Specializes in Nephrology and Dialysis

Not lupus: ANA 1:640 is not significant. The pain could be due to muscles, disk disease, or kidney disease. Lack of kidney stone makes kidney source of pain less likely, even less, if no evidence of infection on urinalysis. However, with negative work up including ultrasound, and pain getting worse, a ct scan is needed. Another possibility is disk disease that may need an MRI to prove.

Answered 11/28/2017

5.4k views

Thank

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