A member asked:

I have a high ana of 1280 and no other positive blood test for lupus. i do have a slightly low white blood count that i have had for as long as i can remember. i also have body aching and fatigue. what can i do to not get lupus? do you think you!?

6 doctors weighed in across 4 answers

In this setting I think it's very important to be evaluated, followed and advised by a rheumatologist. The low wbc is suspicious. There is other specialized testing to pinpoint the cause of your elevated ANA and to make an accurate diagnosis as well to begin early treatment if deemed advisable.

Answered 9/10/2021

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Dr. Sue Ferranti answered

Specializes in Internal Medicine

An elevated ANA can be due to many things, lupus being one of them. You will need further testing to determine why this ANA is elevated. You should see a rheumatologist for further testing. There is nothing you can do to not get lupus-either you have it or not. So, see a rheumatologist. Best of luck to you!

Answered 9/11/2021

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Agree with Dr. Ferranti. You can help your cause by avoiding exposure to sun. Use sunscreen or better yet hats and clothing to prevent you skin getting exposure to sun.

Answered 9/10/2021

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Dr. Christine Hom answered

Specializes in Pediatrics

A positive ANA needs to be followed up with more specific blood tests for lupus and other rheumatic diseases. If these have already been done and there are no other signs of organ disease, then you do not have lupus. Medication is not appropriate, but avoidance of ultraviolet exposure may reduce the risk of progression to lupus. Sunscreen, SPF 30 or higher and avoiding midday sun is recommended

Answered 9/12/2021

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