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A 32-year-old female asked:

Chronic high wbc and ana; female 32 white; ana positive speckled pattern 1:640; crp 12; last wbc 13.2; neutrophils 7.5 - 8.0; sed rate 55; absolute lymph 4.1 - 4.3; fatigue, brain fog/mem. loss, low grade fevers, joint pain. lupus? something else?

2 doctor answers2 doctors weighed in
Dr. Donald Colantino
Internal Medicine 63 years experience
Joint pain & high ANA with speckled pattern favor a diagnosis of lupus, but the wbc is usually low. Elevated wbc with fevers raises suspicion of an infection as well. A rheumatologist is best to evaluate,advise and follow you. Other appropriate testing will be done.
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Dr. Gurmukh Singh
Pathology 51 years experience
All laboratory/imaging results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Talk to the doctor who ordered the tests. Having said that, your results suggest an autoimmune inflammatory process. It would be prudent to consult a rheumatologist. Wish you good health!
Created for people with ongoing healthcare needs but benefits everyone.
Last updated Feb 16, 2023


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