| | Any advice for next appt w/rheumy... ANA pos/speckled pattern and elevated ESR.
I have had two appointments with two different rheumatologists because they have had completely different approaches. One is using the slow and methodical approach and has only discovered a vit D deficiency after doing a few tests. He started me on 50,000 IU weekly to see if that helps the chronic pains (it has not so far). The other doc seems quicker to form an opinion, viewed the same test results, and felt strongly that I probably had fibromyalgia after completing an exam. However he wanted to test some more in the mean time.
So far I've had the following tests done (and all are within normal range): TSH, rheumatoid factor, sjorgen's, hepatitis C, lupus anticoagulant screen, metabolic panel, and anticardiolipin antibodies.
The only results out of range, besides the vit D, were an elevated ESR and twice my ANA has been positive. The first time it was done by my GP so I don't know the details, but the most recent test was in a speckled pattern (I'm sorry, but I have forgotten the titer).
I have a follow-up appointment in a few weeks...does anybody have any recommendations on tests that I should request, questions to ask the rheumy, or any other advise?
From what I saw online, a positive ANA and elevated ESR would not be related to fibro since fibro is not a inflammatory condition. Could there be something else going on or are these common results for someone with a lot of different symptoms and muscle pain?
Thanks so much for taking the time to read this.
Last edited by maiyen; 01-12-2012 at 06:36 AM.