3 doctors weighed in:
I had a positive ana, double stranded dna, and I believe smith's antibodies. I also had a butterfly rash at the time. Besides lupus, what could it be?
3 doctors weighed in

Randy Burgett
General Practice
1 doctor agrees
In brief: Probably Lupus
A butterfly rash is often seen with lupus, but could also been seen with vitamin deficiency disorders like pellagra or connective tissue disases like dermatomyositis.
However, the positive ANA and smith's antibodies most likely indicate it is lupus. You should see your physician to be properly diagnosed.

In brief: Probably Lupus
A butterfly rash is often seen with lupus, but could also been seen with vitamin deficiency disorders like pellagra or connective tissue disases like dermatomyositis.
However, the positive ANA and smith's antibodies most likely indicate it is lupus. You should see your physician to be properly diagnosed.
Randy Burgett
Randy Burgett
Answer assisted by Randy Burgett, Medical Student
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1 comment
Randy Burgett
Did these antibodies only test positive once? There may have been a false positive reading. Also, I think Smith antibodies may disappear with treatment, although Lupus cannot be cured. If your rheumy said its not Lupus, it may be a connective tissue disorder. I would follow up with him or another physician.
Dr. SG Erman
Family Medicine
1 doctor agrees
In brief: Not Much
Sounds pretty diagnostic for lupus to me.

In brief: Not Much
Sounds pretty diagnostic for lupus to me.
Dr. SG Erman
Dr. SG Erman
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Dr. SG Erman
Absolutely. The rash of lupus is usually not really bumpy. This could be something else, especially if your lab work is totally normal
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