Hello, Welcome to icliniq.com. ANA (antinuclear antibodies) is a general screening test for autoimmune diseases mainly lupus. Your anemia and photosensitivity raise the concern of possible lupus, especially at your age. However, this test is not enough for diagnosis. You need more tests that can be ordered by your general physician.
Hi,Welcome to icliniq.com.I understand your concern.Seeing your weight, this might be early osteoarthritis. However, if there is swelling, we need to tap the knee and get the fluid. I suggest taking some laboratory tests to rule out rheumatoid arthritis-like ESR (erythrocyte sedimentation rate), CRP (C-reactive protein), RA (rheumatoid arthritis) latex turbid test, and anti-CCP (cyclic citrulinated peptide).
Hello, Welcome to icliniq.com. I understand your concern. Thank you for your query. This is obviously a post covid viral arthritis caused by the infection that you had, and it gives the same presentation as sacroiliitis and other autoimmune diseases. We call it reactive arthritis, and it takes time to heal.
Hello, Welcome to icliniq.com. I understand your concern. Do not worry, as you are receiving the best treatment for dermatomyositis. Secondary Sjogren's syndrome is a very common autoimmune disease. Being on tablet Cellcept (Mycophenolate mofetil 500 mg) is more than enough to prevent complications of Sjogren's syndrome.
Hello, Welcome to icliniq.com. I read your query and understood your concern. The first medications used to treat osteoarthritis (OA) pain include: Acetaminophen (Tylenol) and nonsteroidal anti-inflammatory drugs (NSAIDs), such as Ibuprofen (Advil) or Naproxen (Aleve). Topical medications can also be used. Injections of corticosteroids (Cortisone shots) or Hyaluronic acid into the affected joint are often helpful.
Hello, Welcome to icliniq.com. ANA (antinuclear antibody) is a very delicate test and depends on the substrate used for testing. Some laboratories use primate substrate, and this yields a false-positive result. DFS 70 (dense fine speckled antibody) confirms that ANA might be related to an actual rheumatological disease. If positive, it is more likely to be benign.
Hello. Welcome to icliniq.com. From the reports attached (attachment removed to protect the patient's identity), I can see that her creatinine phosphokinase (CPK) level has improved and is almost normal. This is mainly due to high-dose Prednisone and IVIG (intravenous immune globulin). Her current dose of Azathioprine is lower than what she should take.
Hello, Welcome to icliniq.com. I doubt you have hepatitis C because the test is negative. It is common to have Sjogren's syndrome with positive anti-SSA (Sjogren's syndrome A), anti-SSB (Sjogren's syndrome B), and rheumatoid factor (RF). It all depends on your symptoms. Do you experience dryness in the mouth or eyes, abdominal pain, nausea, vomiting, or diarrhea? Do you have joint pain or swelling?.
Hi, Welcome to icliniq.com. I saw your blood reports (attachments removed to protect the patient’s identity). There is a slight increase in ESR (erythrocyte sedimentation rate) that is non-specific. However, your symptoms suggest an underlying neuromuscular disorder. There is an entity called seronegative arthritis.
Hello,Welcome to icliniq.com.You have absolutely no risk for vasculitis (attachments removed to protect the patient’s identity). These tests are for a very rare type of vasculitis, and fortunately, they are negative. Concerning your lupus, it was mild, and it is expected that the disease goes into a dormant phase after treatment when it is mild. Interstitial cystitis is also a manifestation of lupus.
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