A member asked:

6yo pain in knees and top of feet speckeled ana high esr has enthesopathy legs r "tired" in am but rheumo says nothing wrong. whst should i do now?

3 doctors weighed in across 2 answers

Get another opinion: I am not sure the ANA has any clinical significance for the symptoms you describe but another opinion is always a reasonable option.

Answered 6/10/2014

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Dr. Jay Park answered

No clear diagnosis: Yet. Pain in knee (not swelling), positive ana, and high ESR are not specific enough to make a diagnosis. Prospective study on children like yours is very encouraging. A great majority did not develop rheumatologic condition.

Answered 6/10/2014

5.2k views

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