Ana+w/speck pat. 1:640. sed rate elevated crp ok. cbc and metabolic and urine ok. up back pain. fatigue. right flank pain. lupus panel negatiive. ?

Not related to SLE: I'm certain that this ANA is related to your symptoms. You have an elevated sedimentation rate, but there's two things you need to realize. At age 73 you can have a positive ama due to autoimmunity of aging. As we get older our normal level for the sedimentation rate also increases. A simple formula is half your age and for a woman +10. Thus for you your normal sedimentation rate could be 45. Your physician needs to evaluate these issues also.

Not lupus!: The elevated sed rate is less important than a normal crp. The ANA is not important, since it appears to be false positive. Many things can increase the esr, including diabetes, metabolic syndrome, female hormones:all increase serum fibrinogen! also, connective tissue diseases rarely cause back pain. I believe you have a back problem unrelated to these tests. See someone in rheumatology or ortho!