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ANA test positive in child - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: X-ray, Lab tests and Scans
Answered by

General & Family Physician
Practicing since : 2004
Answered : 36 Questions
User :   My daughter had a positive ANA 180
Doctor :   Hi
User :   hell
User :   nice to meet you
User :   i am very concerned waiting until 430 to hear what the additional results of the blood test were from the rhumetologist
Doctor :   ok
User :   she had a rash on the side of her nose the peditrician ordered an ANA test
User :   which came back positive 1.80
User :   i am so nervous wondering what they are testing for i know lupus is one
User :   she is very active in competitive cheerleading
Doctor :   the presence of the typical rash indicates that the dr is checking her for SLE
User :   is this life threating ??
Doctor :   NO
User :   can she live a normal life
Doctor :   increased titers, such as 1:320, are CONSIDERED positive,
Doctor :   YES definitely
User :   is 1:80 extremely high indication of sle
Doctor :   no
Doctor :   that is considered very low
User :   will she have to be medicated if she is not displaying any sings
User :   of the disease
Doctor :   not needed at all
User :   cancer is not tied into this
Doctor :   can u tell me a background of her symptms so that i can help u more
Doctor :   this is not related to cancer at all
User :   she just a slight rash on the sides of her nose
User :   she complains of headaches but not frequently has not had one in months
User :   sometimes she has upset stomaches
User :   no fevers
Doctor :   any joint pains ? aneemia like symptoms
User :   no
User :   last week she said her knees were bothering her but
User :   she is a tumbler
User :   at the gym
User :   can she continue to do her sport
Doctor :   ok, that could be due to sports related
User :   all in all she is a healthy active kid
Doctor :   yes , in case the symptoms and physical does not reveal SLE or anything else she can live normally
User :   the only reason they tested the ANA was a rash on the side of her nose
Doctor :   even in SLE, if treated , she will be normal as any other kid
User :   thank goodness
Doctor :   that rash could be due to sunburn
Doctor :   or dermatitis
User :   no she has had it since the age of 6
User :   dermatitis can that give you a positve ana
Doctor :   in that case , no need to worry at all
Doctor :   no dermatitis , does not give any such results
Doctor :   most probably, since the rash is long standing, it will be a normal
User :   having a 1:80 ana does not mean SLE
Doctor :   also since the titre is less , (1:80) its not SLE
Doctor :   A TITRE OF 1: 320 is considdered high
Doctor :   and positive for SLE
User :   1:80 is not higher than 1:32??
User :   confused
User :   what about RA??
Doctor :   YES, it is higher , than 1: 32, BUT it does not indicate SLE
Doctor :   you mean rheumatoid arthritis ?
User :   yes
Doctor :   in that case, ANA is not a test for RA
Doctor :   Most positive ANA results don't have significance,
User :   1:32 is considered high and is positive for SLE therefor 1:80 is a positive SLE
Doctor :   NO NOT AT ALL
Doctor :   U got it wrong
Doctor :   1: 32 to 1: 80 ARE lower levels
User :   oh okay
Doctor :   high titres are like 1: 320
User :   i guess im just confused as to why he took 4 blood tubes of blood and what he was ruling out
User :   and a urine sample
Doctor :   he must be doing some routine tests
User :   this is not something to worry about
Doctor :   checking the ESR, complete blood counts need enough blood
User :   then
Doctor :   no there is no need to worry
User :   the dermatologist gave us a sulfur drug
Doctor :   ok
User :   she ended up getting more of a rash
User :   burning
User :   itching
User :   eyes had welts
Doctor :   coz, it can cause a rash and side effect s ?
User :   her dad is allergic to sulfur drugs
User :   i stopped the medication
Doctor :   i guess she is allergic to them as well
User :   put vasline on the dry areas and it looked fine this morning
Doctor :   ok
User :   on the corners of her mouth she had a rash
User :   but i have had that as well and it was a yeast infection
User :   i have been using monistat on it
User :   looks better
User :   is that a lupus sign
Doctor :   no not at all
Doctor :   thats not a lupus
User :   okay i appreciate your help
Doctor :   you r most welcome
User :   i just lost so much sleep over this worring
Doctor :   i hope i have cleared ur doubts
User :   yes
Doctor :   Its understandble when it comes to medical tests
User :   worst case SLE best case nothing
User :   and its not a life threating illness
Doctor :   she will not be having SLE , based on her presntation
User :   thanks for your help
Doctor :   no not at all , it does not affect the life at all
Doctor :   u r welcome again
User :   one more question
User :   upset stomaches or diareah a sign
Doctor :   No
Doctor :   not at all
User :   thanks again have a great day
Doctor :   weakness, irregular periods, joint ache , fatigue
User :   sometime fatigue
User :   but never complains or sleeps too much
Doctor :   these are typical signs of SLE
User :   goes to school all day without being tired
Doctor :   then there is no need to worry
Doctor :   she doe not have SLE
User :   thank you
Doctor :   U CAN relax now
User :   i appreciate your help
Doctor :   u r most welcome
User :   bye
Doctor :   bye and take care
Doctor :   hope everything turns out good
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