6 doctors weighed in:

50 y/o male chronic neck & LBP, headache, shoulder pain, bilateral hip pain. Normal CBC, CK,CMP,ESR,CRP,Vit D,RF. ANA 1:40 speckled. More workup?

6 doctors weighed in
Dr. Felix Brizuela
Neurology
3 doctors agree

In brief: Yes

anti double stranded DNA, to try and confirm lupus.
anti ssa and ssb, r/o liver or thyroid disease, since sjogren and the latter 2 can cause positive ANA.

In brief: Yes

anti double stranded DNA, to try and confirm lupus.
anti ssa and ssb, r/o liver or thyroid disease, since sjogren and the latter 2 can cause positive ANA.
Thank
Dr. Martin Morell
Internal Medicine - Rheumatology
1 doctor agrees

In brief: Seronegative

spondyloarthropathy still a consideration.
Perhaps plain films with attention to si joints and Ls spine.

In brief: Seronegative

spondyloarthropathy still a consideration.
Perhaps plain films with attention to si joints and Ls spine.
Thank
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