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Doctor insights on: Rheumatoid Arthritis Diagnostic Panel Comprehensive

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Dr. Jeffrey Bassman
40 doctors shared insights

Rheumatism (Definition)

"rheumatism" is an older term, not used much today. Most people are referring to pain and swelling in the joints when they use this term. People may mean something different when they use this term in contrast to when they refer ...Read more


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Rheumatoid arthritis genetic test available?

Rheumatoid arthritis genetic test available?

No.: No genetic tests predict RA in an individual. Some testing can identify patient who may be at risk for a seronegative spondyloarthopathy, but even the presence of a suceptible gene does not mean you have or will get it. ...Read more

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What are the laboratory tests for rheumatoid arthritis?

What are the laboratory tests for rheumatoid arthritis?

None definitive: Rheumatoid factor, C-reactive protein and sedimentation rate are the most frequently ordered test but it is a clinical diagnosis only confirmed by blood tests. It rarely starts in the neck. Neck pain is very complex and the treatment and cure is well covered in my book, Stop Your Neck Pain and Headache Now. ...Read more

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Whats standard infectious workup post POTS diagnosis? Does typical workup include Lyme disease testing? ,

Whats standard infectious workup post POTS diagnosis? Does typical workup include Lyme disease testing?
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Yes: Lyme can cause autonomic dysfunction including POTS- good idea to get tested for lyme and its coinfections such as bartonella, mycoplasma, erhlichia, anaplasma, babesia and rocky mountain spotted fever which are all tick borne infections ...Read more

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RA factor,ANA positive with polyarthritis ACCP negative and polyclonal hypergammaglobulinaemia. whats the diagnosis?

Auto immune disorder: The information you provided is not sufficient to provide a specific diagnosis. It suggest an auto-immune inflammatory disorder. All laboratory 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. ...Read more

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Causes of elevated CRP (18.4) and C4 comlement (46)? History: ana, ccp positive. Sjogren's symptoms but ssa/b neg. No arthritis. Fatigued.?

Causes of elevated CRP (18.4) and C4 comlement (46)? History: ana, ccp positive. Sjogren's symptoms but ssa/b neg. No arthritis. Fatigued.?

You have inflammatio: Your tests indicate inflammation. Sjogren's not associated with high inflammation. Ccp positivity fairly specific for ra. Chronic fatigue is common in both RA and sjogrens. And sjogren's (2') common in ra! responds well to Nuvigil or provigil! have you seen a rheumatology specialist to sort things out? ...Read more

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What is seronegative rheumatoid arthritis?

What is seronegative rheumatoid arthritis?

Blood test negative : For ra. Seronegative rheumatoid arthritis is the rheumatoid arthritis in which the blood doesn’t contain rheumatoid factor (rf or rhf). While diagnosing ra, doctors get a range of laboratory tests done and also evaluate the physical symptoms. ...Read more

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What blood test results symbolize rheumatoid arthritis?

What blood test results symbolize rheumatoid arthritis?

There are several: Rheumatoid arthritis is a clinical diagnosis based on symptoms and physical findings. Lab tests that are helpful/confirmatory include a blood count(cbc) , ESR or crp, rheumatopid factor and ccp antibodies. These would serve as good screening tests at first. ...Read more

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Given a positive RNP antibody test, what are the clinical diagnostic criteria for MCTD?

Given a positive RNP antibody test, what are the clinical diagnostic criteria for MCTD?

MCTD: Usually considered diagnostic if high RNP titer, and two or more of the following: Raynauds, myositis, synovitis and swollen fingers/hands. ...Read more

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Juvenile rheumatoid arthritis criteria pls?

Joint swelling >6wks: Jia/jra - general guide 1. Age of onset <16 yr 2. Arthritis (swelling or excess joint fluid), or 2 or more of these: less than full range of motion, tenderness or pain on motion, & increased warmth in at least 1 joint 3.Above signs (seen by doc)for > 6wks 4.Type seen in first 6 mo: a.Polyarthritis: ≥5 inflamed joints b.Oligoarthritis: 4 or fewer joints c.Systemic -fever, arthritis 5.No other cause. ...Read more

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What arthrotide conditions would cause a negative rheumatoid factor in blood panel?

What arthrotide conditions would cause a negative rheumatoid factor in blood panel?

Almost any: Almost any, including many with ra, and presence of rf does not make the diagnosis. Rf is found in a number of other phenomena and occasionally in healthy people. ...Read more

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What is the confirmed blood examination for rheumatoid arthritis?

CCP antibody: The most specific test for RA that is commercially available is the ccp antibody. The rheumatoid factor test is much less specific. ...Read more

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What causes RA (rheumatoid arthritis)?

What causes RA (rheumatoid arthritis)?

Unknown: Synovial tissue inside joints become inflamed and damaged by chronic inflammation. The exact triggers are still elusive. ...Read more

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What tests are in a comprehensive metabolic panel?

What tests are in a comprehensive metabolic panel?

Metabolic panel: A comprehensive metabolic panel tests kidney and liver function, as well as the level of common electrolytes such as sodium, potassium, and calcium. ...Read more

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I tested positive for the ANA screen, 1:160 titer, speckled pattern. Rheumatoid factor 21, SED rate 22. Does this indicate Rheumatoid arthritis?

I tested positive for the ANA screen, 1:160 titer, speckled pattern. Rheumatoid factor 21, SED rate 22. Does this indicate Rheumatoid arthritis?

No: The rheumatoid factor was barely above negative. It is usually greater than 150 in RA. The CCP antibody is a much more specific test. The diagnosis of RA depends on several diagnostic criteria. The rheumatoid factor is nonspecific. ...Read more

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Normal C-RP, Sed Rate, CBC, CMP, Rheumatoid fac., C3/C4 Complement and Cyclic Citrul peptide. ANA was negative. Does this rule out any auto-immune?

Normal C-RP, Sed Rate, CBC, CMP, Rheumatoid fac., C3/C4 Complement and Cyclic Citrul peptide. ANA was negative. Does this rule out any auto-immune?

Not necessarily: All laboratory 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. Having said that, Lab test do not equate to disease or the lack of it. It is good that all the test results are negative. It reduces your risk of an auto-immune disease to very very low, but does not exclude it 100%. ...Read more

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Are there good tests for rheumatoid arthritis?

Are there good  tests for rheumatoid arthritis?

Yes: I still mostly rely on the patient’s history and physical exam. A few blood tests can help support a diagnosis of RA: anti CCP antibody, RF for example. If these are present it suggests a worse prognosis. Joint x rays with early symptoms are often normal. More studies are defining the role of musculoskeletal ultrasound and MRI of the joints in helping us diagnose rheumatoid arthritis early. ...Read more

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Dr. Robert Lowe
1,576 doctors shared insights

Painful Joints (Definition)

That term is not really a specific diagnosis, but rather somewhat of a general term. The medical term is arthralgias, which implies pain in multiple joint possibly coming from a single cause. Don't hesitate to be seen and evaluated for ...Read more


Dr. Thomas Namey
2,441 doctors shared insights

Arthritis (Definition)

A severe illness caused by bacteria named bacillus anthracis. Anthrax disease can result in pneumonia, ...Read more