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What does positive ANA and positive Anti Ds DNA indicate?

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Internal Medicine Specialist
Practicing since : 2009
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Please explain test results
Posted Sat, 15 Mar 2014 in Medicines and Side Effects
 
 
Answered by Dr. Anshul Varshney 8 minutes later
Brief Answer: SLE Detailed Answer: Dear Friend. Hi , I am Dr Anshul Varshney , I have read your query in detail , I understand your concern. I don't have your detailed medical history , so i would just share the interpretation of laboratory results. Your ANA is positive and Anti Ds DNA is positive , so this favours the diagnosis of Systemic Lupus Erythematosus (SLE). Rest of Autoimmune Antibodies are with in normal limits. This is my personal opinion based on details available here. If you still have any query you may please ask me. Stay Healthy. Dr Anshul Varshney , MD
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Follow-up: What does positive ANA and positive Anti Ds DNA indicate? 15 minutes later
Thank you. I have rheumatoid arthritis and take humira. She wanted to make sure there was no other autoimmune disease. So is your answer still the same?
 
 
Answered by Dr. Anshul Varshney 7 minutes later
Brief Answer: SLE or Overlap Syndrome. Unlikely to be RA Detailed Answer: Welcome Again. I am sorry , but i am not convinced with her diagnosis of Rheumatoid Arthritis based on your Lab reports. In case , you have Rheumatoid Arthritis , your Rheumatoid Factor should have been positive. But many a times , it get's negative. So , to be sure you should get Anti -CCP Antibodies. This test will give the answer in Yes Or No. If it is positive - You have Rheumatoid Arthritis. If it is negative- You don't have. I am still not convinced with the diagnosis of Rheumatoid Arthritis with positive ANA and Anti Ds DNA. My diagnosis is SLE. In case , you have rheumatoid arthritis , I would say you have "Overlap Syndrome". Discuss my opinion with your doctor , i am sure she will agree to this. Still , if you have any query , please feel free to ask me. If not , please close the discussion and rate it.
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Follow-up: What does positive ANA and positive Anti Ds DNA indicate? 1 minute later
She had me do these tests because I got diagnosed also with gastroparesis from GI doctor after gastro scan. She was thinking that maybe Scleroderma may be causing is also. Can this be confirmed by the tests I provided you?
 
 
Answered by Dr. Anshul Varshney 7 minutes later
Brief Answer: It's SLE. Detailed Answer: Your Lab reports has one test related to Scleroderma , Anti centromere Antibody , that is NEGATIVE. Another test is Anti HCL-70 antibody (Anti Topoisomerase I) , which we do for Scleroderma , that has not been done. However , let me tell you again that Gastroparesis can be there in SLE! I don't have your medical history , still i believe it is SLE. Stay Healthy.
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