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A 45-year-old member asked:

2yrs ago started w/ joint pains, rash on and off , anemia. ana test 1:40 speckled , crp 6 .0mg/l, rf was normal , previous dr said it could be lupus .?

2 doctor answers3 doctors weighed in
Dr. Nayla Mumneh
Allergy and Immunology 29 years experience
Tests: These tests need monitoring but cannot establish a diagnosis. You need to have them followed up if your joint issues continue to occur. See a rheumatologist.
Dr. Aasim Sehbai
Hematology and Oncology 24 years experience
Lupus : If your symptoms are persisting, check ANA again with titers and if ratio is strongly positive (not 1:40, but like 1:80, 1:160, 1:320, 1:640, etc) than certainly other serological tests for lupus can also be performed and lupus diagnosis can be entertained. You need to have 4/9 criteria to say it is lupus.

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Last updated Oct 3, 2016

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