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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is RA Related With, Positive ANA Screen With Tender Glands In Neck And Ear?

Hi I am waiting to be seen by a rheumatologist. I have a positive ANA screen, a 3.4 centromere b antibody. My mom and grandmas had rheumatoid arthritis. I went to my GP to obtain an anti inflammatory drug. She did not order me a prescription and said go to the rheumatologist. I hate spending more money on blood tests. Can the doctor prescribe or what is your thoughts. I have tender glands under neck and by ear but I do not run a fever.
Mon, 16 Mar 2015
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Orthopaedic Surgeon,  's  Response
Hello

I have studied your case

Neck selling canbe lymph node.
Enlarged lymph node in neck is very common condition and needs proper evaluation.

If there is no improvement then we will need to investigate in form of complete blood count, ESR, CRP, tuberculin test, and Fine needle aspiration cytology or open biopsy.

There could be possibility of infection like Tuberculosis or sarcoidosis or rheumatoid arthritis.


So I will advise you to consult a specialist and do further investigation.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.

Take care
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Is RA Related With, Positive ANA Screen With Tender Glands In Neck And Ear?

Hello I have studied your case Neck selling canbe lymph node. Enlarged lymph node in neck is very common condition and needs proper evaluation. If there is no improvement then we will need to investigate in form of complete blood count, ESR, CRP, tuberculin test, and Fine needle aspiration cytology or open biopsy. There could be possibility of infection like Tuberculosis or sarcoidosis or rheumatoid arthritis. So I will advise you to consult a specialist and do further investigation. Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care