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A 18-year-old female asked:

positive ana 1.80 spreckled, alt 7 low high crp & sed rate extreme fatigue, rashes, joint pain, hair loss, mouth sores, migratory arthritis, anemia, etc. mri consistent with proliferative synovitis (i.e. rheumatoid or psoriatic) is this lupus or?

2 doctor answers2 doctors weighed in
Dr. Gurmukh Singh
Pathology 49 years experience
See below: You may consult this site for information about diagnostic criteria for lupus: https://emedicine.medscape.com/article/332244-overview?pa=ck1yQiypUwuLA5VMdDOJ3BQHiOh8fCKz1CZkuQzjcNYdU%2BODsRCqJiqVtT5nvnotB6Zh9Lrq1cT%2FBfcsoWJDY1aycSibeA0Q%2FJsWK%2BpGHzs%3D However lupus is a serious diagnosis and is not a do it yourself matter. Please talk to your doctor. Wish you good health!
Dr. Ed Friedlander
Pathology 44 years experience
I suspect so: The low ALT means nothing at all. Get a Coombs' test to see if your anemia is autoimmune, and of course the essential lupus labs -- anti dsDNA, anti-Sm, anti U1RNP, anti-Ro, anti-La. These labs are prone to technical errors. The real question is, "Do we TREAT you? If so, how?" That's why there are rheumatologists and regardless, you need a relationship with a trustworthy specialist.
Dr. Ed Friedlander
Pathology 44 years experience
Provided original answer
Thanks for your kind words and the follow-up. Your daughter is fortunate to have you during her illness. I trust the Behcet's has been ruled out. Lower on my list would be Wegener's, reactive arthritis (formerly "Reiter's"), and I'm trusting she is not neutropenic.
Nov 9, 2017

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