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Doctor insights on: Smas Lift Bruising

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If I have a high positive ANA (1:640) speckled, nucleolar and low positive SMA (1:40), what further tests do I need to do? (Negative SS-A, SS-B, Smith, RNP, SCL-70, Anti Jo Abs)

If I have a high positive ANA (1:640) speckled, nucleolar and low positive SMA (1:40), what further tests do I need to do?  (Negative SS-A, SS-B, Smith, RNP, SCL-70, Anti Jo Abs)

? anti dsDNA: You've probably already had these more basic tests: complete blood count, sedimentation rate, C-reactive protein, urinalysis & rheumatoid factor. It appears to me that the ANA results with slight positive anti-Smith may suggest lupus; you need an antibody to double-stranded DNA (anti dsDNA) which is very specific & somewhat sensitive for lupus.All this needs to be correlated by your doc/specialist ...Read more

Dr. Melissa Gowans
1,383 doctors shared insights

Ecchymoses (Definition)

Ecchymoses are bruises. Bruises are purple or red collections of blood under the skin that appear after blood vessels in the skin break, causing the blood to spread through the tissues ...Read more


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How is SMA diagnosed?

How is SMA diagnosed?

See below: (spinal muscular atrophy) defining signs and symptoms are the first clue. To confirm diagnosis, a genetic test is done. If that is negative but the physician still things sma is the cause of the patient's symptoms, an electromyography, enzyme creatnine kinase, and nerve conduction studies can be done. ...Read more

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Can you die from sma?

Can you die from sma?

Depends: Sma type 1, also known as infantile spinal muscular atrophy or werdnig-hoffmann disease, is the most common and severe type of sma. It typically presents in the neonatal period. Majority of affected infants die within a year from respiratory failure. Type 2, 3, and 4 present at a later ages and are milder forms. ...Read more

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What are the tests for sma?

What are the tests for sma?

Different: Spinal muscular atrophy is diagnosed by genetic testing, muscle biopsy, electromyography (electrical muscle test). Superior mesenteric artery syndrome is diagnosed by x-rays, ultrasound, arteriography, ct scans. ...Read more

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What are the symptoms of sma? 

What are the symptoms of sma? 

Symptoms SMA: Areflexia, particularly in extremities overall muscle weakness, poor muscle tone, limpness or a tendency to flop (the "floppy baby" syndrome) difficulty achieving developmental milestones, difficulty sitting/standing/walking in infants: adopting of a frog-leg position when sitting (hips abducted and knees flexed) loss of strength of the pulmonary muscles: weak cough, weak cry. ...Read more

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How are patients with SMA cared for?

How are patients with SMA cared for?

SMA: Spinal muscular atrophy is a rare genetic disease affecting a protein in the spinal cord, leading to nerve death and muscular weakening and shrinkage. Caring for patients depends on the damage done and specific needs. Check the article in wikipedia for general information, and check with you physician for specific specialty referrals as needed. ...Read more

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What are the genetics of sma?

What are the genetics of sma?

More than one type: Spinal muscular atrophy of infants, before the gene was identified, was called Werdnig-Hoffman disease. Pitiful-we always looked at the tongues of floppy babies hoping it wasn't fasciculating. No treatment, breathing muscles progressively weakened, resulting in suffocation. 1 chance in 4 of recurrence-maybe. 2% were mew mutations. Kugleberg-Weilander disease had onset after 12 mo. Now 7 forms ...Read more

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Is SMA, (child version of ALS), rare? Statistics? Likelihood of it happening in a 3 yr old child?

Is SMA, (child version of ALS), rare? Statistics? Likelihood of it happening in a 3 yr old child?

Rare/ not ALS: The Spinal muscular atrophy types (1-4) arise from an inherited lack of a material that protects the motor neuron. The type 3 (onset after age 1yr) has an estimated gene prevalence of of 1/375,000 in the population and incidence of 1-6/1,000,000 births. You need a defective gene from both parents to inherit this condition.Though weakness is common to ALS/SMA they are not related. ...Read more

Dr. Melissa Gowans
2,022 doctors shared insights

Bruising (Definition)

Bruises may occur over skin that is injured. Bruising from very minor injury can be a sign ...Read more


Dan Tse
36 doctors shared insights

Sma (Definition)

SMA is an acronym for "Spinal muscular atrophy", "Smooth muscle antibody", ...Read more