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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Lupus

I TESTED POSITIVE FOR LUPUS; BORDERLINE POSITIVE ANA TITER 1:40; AND ANA PATTERN SPECKLED. I HAVE JOINT PAIN WITH PSORIASIS LIKE RASH OVER JOINTS THAT COMES AND GOES. HISTORY OF BREAST AND SKIN CANCER. AGE 56, FEMALE. HOW TO INTERPRET MY MOST RECENT TEST RESULTS? AND WHAT NEXT STEPS SHOULD I TAKE. MY DOC DOESN’T SEEM TO KNOW WHAT’S NEXT.
Fri, 26 Dec 2014
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Rheumatologist 's  Response
Titer 1:40 is not significant, However in view of speckled pattern and psoriasis like skin lesions kindly get ANA blot, Anti Ro, Anti La done to rule out sub acute cutaneous lupus (SCLE). Skin Bx will help to differentiate between psoriasis and SCLE.
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Rheumatologist Dr. Divya Agarwal's  Response
The Ana is really borderline, so consult a rheumatologist.
if he feels you have synovitis in the joints, then you will be started on therapy, regardless of your Ana titers.
the diagnosis of arthritis is largely clinical.
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Suggest Treatment For Lupus

Titer 1:40 is not significant, However in view of speckled pattern and psoriasis like skin lesions kindly get ANA blot, Anti Ro, Anti La done to rule out sub acute cutaneous lupus (SCLE). Skin Bx will help to differentiate between psoriasis and SCLE.