ADVERTISEMENT

Q. I was diagnosed with positive ANA when tested for eczema. Could it be false positive?

Answered by
Dr. Naval Mendiratta
and medically reviewed by Dr. Vinodhini. J
This is a premium question & answer published on Jan 05, 2020

Hello doctor,

I am a 50-year-old male. I was having photosensitivity (not too bad), went to a dermatologist, had a blood test and tested positive for ANA 1:160. I was getting eczema on my hands and feet with the sun at the beach (tiny tiny little itchy blisters), but my forearms and calves start to itch with a very slight rash. I was told I essentially had very dry skin. He was not even going to order a blood test but did it just to make sure of blood count. I showed him a picture of a slight rash. The ANA then tested positive. I have to go see a rheumatologist now.

I do not have any other symptoms of joint pain, etc. I am pretty healthy. I work out five times a week. I take Atorvastatin for cholesterol, Baby Asprin, Ezetimibe, and Vitamin D. I also have a vitamin D deficiency. I also had a physical four months ago and everything else was fine with the blood work. Everyone told me not to worry, that there are a lot of false positives. I can have an early stage of something and it needs to be monitored. But what am I most likely realistically looking at? How quickly does this get assigned?

#

Hello,

Welcome to icliniq.com.

According to history it looks more like the skin is the only one troubling you. I would like to ask you a few more queries.

Did your rash resolve after the sun exposure was removed? Do you experience it on a daily basis when exposed to the sun or was it just due to prolonged exposure? How about your other blood test like complete blood count, ESR (erythrocyte sedimentation rate) and liver function test.

Yes, it is true that ANA (antinuclear antibody) can be a false positive in a lot of people. But we need to be sure that it is not the start of a disease. So only ANA does not give us answers. We need to see if it is causing inflammation in the blood which will be clear from other tests.

As per history, it sounds more like a polymorphous light eruption which usually should improve itself. But yes, if your skin is sensitive you should avoid getting prolonged exposures like tat as they can be harmful to the skin.

Thank you doctor,

The condition does resolve when I am out of the sun and it happens after prolonged exposure (a couple to a few days). I do not think the other things were tested but in had a full physical with standard blood work, then which I assume would pick up the liver function. Any additional thoughts?

#

Hello,

Welcome back to icliniq.com.

Yes, I guess that should be all tested if they did the whole thing. I guess you probably have PMLE (polymorphous light eruption). But that means your skin is sensitive to UV (ultraviolet) light and you should avoid prolonged exposure as they can be harmful.

My only final test would be to do ENA (extractable nuclear antigen) profile to be sure there is no underlying connective tissue disease. ENA tests for all the subset of antibodies under ANA. Since your routine test are good you do not need any treatment. Just do routine monitoring if anything comes up in the ENA profile.

Thank you doctor,

You were able to explain this very succinctly and provided responses that were able to take away much of my anxiety. Yours is a great service.

#

Hi,

Welcome back to icliniq.com.

You are welcome. Keep in touch for further doubts.


Was this answer helpful?

 | 

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!



Related Questions:
Testicular ultrasound showed multiple lesions. Do I need testicular biopsy to confirm cancer?

.. mass is treated as cancer unless proven otherwise. That is why it is advised to evaluate the lesions found by patient or ultrasound by surgical removal and detailed pathological examination.Whereas for most other sites, the biopsy is possible. The...   Read full

Tests for stomach pain revealed a high eosinophil count. What to do?

.. your biopsy report (attachment removed to protect patient identity), and the findings were normal. There is nothing to be worried about. You will need to use PPI's (proton pump inhibitors) to improve your symptoms. Regarding your eosinophilia, i...   Read full

What are these red itchy bumps on my face and arms?

.. seen your picture (attachment removed to protect patient identity) and written descriptions. It looks like papular urticaria or urticarial vasculitis or polymorphic light eruptions (PMLE). You can try 0.1 % Mometasone cream twice daily over arms...   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read


Tomato Fever - Causes, Symptoms, Diagnosis, Treatment, and Prevention
Tomato fever is an unidentified and fast-spreading type of viral infection seen in young children. Scroll down to know m...  Read more»
Histrionic Personality Disorder - Causes, Signs, Symptoms, Diagnosis and Treatment
Histrionic personality disorder causes variations in the thinking ability of a person. Read this article to know more.  Read more»
Nighttime Skin Routine for Clear Skin
A skin that gets all the attention during the day requires a chance to repair, rejuvenate and replenish from day damage ...  Read more»

Ask your health query to a doctor online?

Ask a Rheumatologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.