Doctor insights on:
What Is The Most Accurate Test For Diagnosing Lupus
Tests are accurate: If you have the right tests theses are quite accurate.You should discuss with your doctor who ordered the tests, because he knows your clinical history and will be able to explain the results to you.I can not answer without knowing the tests which were done. ...Read moreSee 1 more doctor answer
Lupus biopsy: Biopsy of lupus has a number of features that lead to diagnosis: a thickened basement membrane, vacuolar alteration of basal keratinocytes and superficial and deep inflammatory infiltrate. Lupus has a number of different forms in the skin and there are times when it is not easy to differentiate it from other types of skin inflammation. There are other tests to support diagnosis. ...Read moreSee 1 more doctor answer
I got a positive lupus antibody test in june and was told I would need lifelong warfarin. Is this accurate?
Not necessarily: If all you had was one positive lupus antibody test, then that is not an indication for treatment with warfarin. To make a diagnosis of antiphospholipid syndrome requires multiple positive tests over time in addition to a clinical finding such as a blood clot or miscarriages. http://www.rheumatology.org/practice/clinical/patients/diseases_and_conditions/antiphospholipidsyndrome.asp. ...Read moreSee 1 more doctor answer
How do antihistamines & other antinflammatories taken longterm affect accuracy of ESR,CRP, PTT tests when r/o lupus or other CTD's?
Little or none: ESR (sed rate) and C-reactive protein are actually of little real use in the lupus workup, and the public and physicians set too much by them generally. PTT is used to look for the "lupus anticoagulants" that paradoxically cause thrombosis. The common meds that affect small molecules like histamine and prostaglandins don't impact production of the proteins involved in these tests, or lupus testing ...Read more
Biopsy of facial rash showed seborrheic dermatitis despite lupus symptoms with all neg blood work. is biopsy accurate? stain test wasn't used
TESTS FOR LUPUS: Cbc, urine and sed rare.Following test are important to diagnose lups 1ana titer is an important test, it is positive in 97%of patients with lupus.When threeor more typical features of lupus are present like, skin, joints, kidneys, lungs, heart, blood or nervous system, positive ANA will confirm it 2anti ds dna +iin half patients 3apls antibody+in 30% 4ro/ss-a and la/ss-b in skin lupus sm antibod 30-40%. ...Read more
I have traces of leukocytes in urinalysis, otherwise all lupus test is normal. My doctor is in process of diagnosing me with lupus? Is it concerning?
See answer: Lupus, an autoimmune and chronic inflammatory disease that can affect the joints, skin, kidneys, lungs, nervous system and other organs. About 1.5 million americans have lupus, and 1/3 will develop kidney involvement characterized by protein in the urine and elevated blood creatinine levels. Trace leukocytes in the urine by itself and unassociated with urinary symptoms is most often normal finding. ...Read more
Probably not lupus: Many people have symptoms suggestive of lupus but most turn out not to have the disease. The ANA and other blood tests are virtually always positive in patients with lupus. Negative tests mean you're not likely to have lupus. A bigger problem is false positive anas, in which case the teat is positive but the patient does not meed other diagnostic criteria to lupus. ...Read more
Lupus : There are different tests for lupus. Diagnostic tests which can be positive even if you don't have a flare. Then there are test to determine disease activity which can be abnormal during flares. Mind you that a diagnosis of lupus depends on history, clinical exam in addition to lab. Best wishes ...Read more
Yes: Yes you can.Get a more detailed answer ›
Need further test: False positive RPR may suggest antibodies in the blood that is cross reacting with RPR test reagent. Common antibodies are antiphospholipid antibodies that gives false positive RPR. Lupus is diagnosed based on signs and symptoms PLUS presence of ANA antibodies in the blood. You can ask your MD to check for these antibodies by blood tests. ...Read moreSee 2 more doctor answers
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