How/why can lupus symptoms present & diagnosis of lupus be made by clinical picture &high ana titer only?why don't other labs show positive?two rheum mds dx'd me.

Each person is diffe: Each person is different. At one time a rheumatologist of evaluated the different presentations of lupus and came up with over 1400 different ones. Lab studies correlate with different manifestations.

See details: It is not unusual for lupus patient s to have an ANA as the only positive autoantibody test. If the clinical picture fits, you have lupus.