Lupus

Lupus is also called systemic lupus erythematosus. It is an autoimmune disorder causing inflammation in the joints, kidneys, skin, heart, and lungs. The symptoms are butterfly-shaped rashes on the skin, mouth ulcers, arthritis, and seizures. There is no cure for this issue, but it can be managed by preventing flare-ups and taking anti-inflammatory medications.

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What do positive lupus anticoagulants indicate in the first test of antiphospholipid syndrome?

Query: Hi doctor,I have recently been told my first test of antiphospholipid syndrome shows positive lupus anticoagulants. What does that mean for someone with no symptoms? I took Articaine and Phenphedrine the day before the test. Can an overdose cause the test to be faulty? I had four miscarriages so far...  Read Full »


Dr. Parth R Goswami

Answer: Hi, Welcome to icliniq.com. You have a history of four recurrent miscarriage and cause for that seems to be an antiphospholipid syndrome. Because of thrombosis secondary to antiphospholipid syndrome, miscarriage occurred. If you are on anticoagulant medication, then it could be a false result. But ...  Read Full »

Are the results with ANA value 64 and ESR value 25 a cause of concern?

Query: Hi doctor, I have started to experience weird sensations around my body after my father died three years ago. I would often get sudden stabbing head pains, numbness in face, painful and sometimes stiff fingers especially, after waking up. More recently, I get heart palpitations, which force me to co...  Read Full »


Dr. Divya Agarwal

Answer: Hi, Welcome to icliniq.com. I have seen all the reports (attachment removed to protect patient identity). This does not look like lupus. Lupus is a serious disease, which apart from other symptoms, can affect the kidneys and the brain. I agree that your ANA (antinuclear antibody) is positive, howev...  Read Full »

I have an enlarged lymph node on the side of my neck with a low fever and ANA 1:16. What might it be?

Query: Hi doctor, I have enlarged lymph nodes on the side of my neck and experienced a low fever on and off for four days. I tested positive for ANA (Antinuclear antibody) 1:16, speckled pattern. No sign of abnormality in my chest x-ray result. I do not have any other symptoms, such as skin rash or muscle...  Read Full »


Dr. Sugreev Singh

Answer: Hi, Welcome to icliniq.com. Thank you for writing, and I understand your concern. When actually in large lymph nodes, it can be due to infection. Bacterial infection can lead to such swollen lymph nodes. But at the same time, positive ANA indicates for them, so there might be rheumatoid arthriti...  Read Full »

Does my report say that I have vasculitis and if so, am I at COVID risk?

Query: Hi doctor, I am a 53-year-old female, and I was diagnosed with lupus more than 15 years ago. It was considered mild, with the main problems being light sensitivity, fatigue, muscle aches, and occasional mouth ulcers. I was tested positive for ANA and was negative for all other autoantibodies, and...  Read Full »


Dr. Mohamad Ali Rida

Answer: 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...  Read Full »

What are long-term effects of arthritis affecting the neck and wrist?

Query: Hello doctor, I am having symptoms of arthritis in my neck and wrist for more than ten years, and it is getting worse now. I thought it could be due to the effect of wear and tear of my old car accident. And sometimes, I convince myself by saying that it is because of aging. I also had back-to-ba...  Read Full »


Dr. Nupoor Acharya

Answer: Hello, Welcome to icliniq.com. The symptoms you have described could be seen in lupus or other connective tissue diseases. Your ANA (antineutrophil antibody) is repeatedly positive. However, the ANA profile does not show any specific antibody. But that does not confirm that you cannot ...  Read Full »

Do all my symptoms occur due to lupus?

Query: Hi doctor, I am a 44 year old female, and I have been diagnosed with rheumatoid arthritis, systemic lupus, and Sjogren's syndrome, with symptoms dating back to as young as six years old. I have also been diagnosed with pulmonary hypertension, thyroiditis, Raynaud disease, right-sided heart enlargeme...  Read Full »


Dr. Anshul Varshney

Answer: Hi, Welcome to icliniq.com. The diagnosis of asthma is doubtful as pulmonary issues are seen in conditions you are already suffering from like SLE (systemic lupus erythematosus) and rheumatoid arthritis. Basically, the right term for you is MCTD (mixed connective tissue disease), which are associa...  Read Full »

Can lupus result in extreme fatigue and episodes of unresponsiveness?

Query: Hi doctor,I have hypothyroidism, Hashimoto's disease, high blood pressure, and type 2 diabetes. I was diagnosed with microcytosis before few months. I also have fibromyalgia. I am extremely fatigued and I feel very weak. I am unable to tolerate the sun because I start to have rashes on my skin. They...  Read Full »


Dr. Nupoor Acharya

Answer: Hi, Welcome to icliniq.com. You can have these symptoms due to fibromyalgia or hypothyroidism. You have photosensitivity with Raynaud's phenomenon and arthritis. These symptoms can also be seen in lupus or mixed connective tissue disease. As you had a neurological episode, you can have them due to...  Read Full »

What are the signs and symptoms of lupus?

Query: Hello doctor, I have been diagnosed with lupus. However, I am questioning the diagnosis. Initial presentation of ITP (platelet count under 10k) minor loss of kidney function. Underwent biopsy and reported to have glomerulonephritis prominent mesangial deposits. In addition, three false syphilis pos...  Read Full »


Dr. Rahul Kackar

Answer: Hello, Welcome to icliniq.com. Is your concern that it is SLE or not SLE only? The treatment is more important. It is an autoimmune process that has affected different organ systems. According to me, the concern should be how to halt the progress of the illness, for which knowing if it is purely S...  Read Full »

I have elevated SSA. Can the cause be fibromyalgia or lupus?

Query: Hello doctor, I am a 36 year old mother and a veterinarian. I was recently diagnosed with lupus by a rheumatologist. The only abnormality in my blood work was elevated SSA and dsDNA autoantibodies with a speckled pattern. My CBC, UA, and the biochemical panel were normal. My symptoms included severe...  Read Full »


Dr. Srinivasa Chennareddy

Answer: Hi, Welcome to icliniq.com. As you do not have any clinical symptoms of lupus, except positive antibodies, we do not label you as lupus. There is a criteria for lupus called SLICC criteria (Systemic Lupus International Collaborating Clinics). It is probably a fibromyalgia-like illness only, but do w...  Read Full »

Are joint pain, stiffness in the elbow and shoulders, and hair loss signs of lupus?

Query: Hello doctor,I am seeking a second opinion. I have symptoms of lupus and sarcoidosis. Both are in my immediate family. My blood test has some abnormalities but tested negative for lupus. I have joint pain in my wrist and knees, with stiffness in my hands, elbow, and shoulders. I am fatigued and unab...  Read Full »


Dr. Rahul Kackar

Answer: Hello, Welcome to icliniq.com. Since how long are you having these pains? How is your gut health? What is your level of stress? Do you have ANA, ANTI-DS DNA report? Have you tried HCQS (Hydroxychloroquine sulfate) or Sulfasalazine for these pains? With medication, you will require a proper dietar...  Read Full »

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