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    Old 03-22-2013, 07:20 PM   #1
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    Help with test results... Please

    I went to see a rheumatologist because I have not been feeling well for a while and have gone to so many doctors. I have a lot of chest wall pain and fatigue. He ran a bunch of blood work, ordered a ct scan of the chest and a bone scan. The nurse faxed me my blood work and went over it with me (have appt next week with dr.) She said everything looked ok, a couple of autoimmune came back positive but not to worry??
    I had the ANA Ab 9 profile done. Everything was fine but the:
    Combined Smith and RibonuclearProtein antibodies was very high at 157.0 normal being up to 83.0
    Can anyone give me some insight? Is that positive for Lupus?
    The Smith antibody on its own was 17.0 normal 0.0-89.0
    Other abnormal results
    High crp at 7.3
    Anticardiolipin IGM 10.7 supposed to be lower than 10.0
    WBC 13.8
    Thanks so much. I am happy I found this board

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    Old 03-26-2013, 02:49 AM   #2
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    Re: Help with test results... Please

    Hi, Martini. I think one step the rheumatologist might take next is refine the combined Smith & ribonuclear protein findings, to see which SPECFIC ANTBODIES is (or are) positive. Knowing which can add weight to a diagnosis.

    However, most AI's have MULTIPLE diagnostic criteria, of which antibodies are only one (partial) aspect. You can find the criteria for diagnosing systemic lupus (SLE) in one of the "sticky posts" (permanent info posts) located above the user threads. BTW, all the stickies have good but basic info, which makes them an excellent place to start reading.

    In addition to lupus, there are "close cousins" like MCTD, RA, Sjogren's, etc. that may be possibilities, too. Hopefully your rheumatologist is considering everything in the ballpark.

    Was your chest wall pain figured out by the tests the doctor ordered? Hope so! I imagine multiple causes are possible, including pneumonia, pleurisy, costochondritis, etc.

    Was urinalysis done?

    As an aside, my rheumatologist would probably chastise a nurse who dared to explain labs to patients, as that's his job---plus the AI's are such a tricky area of medicine. Even my PCP forbids her nurses doing that. But to be honest, I'm anxious and eager for input, so it's hard for me not to ask, and even harder for me not to listen if a nurse starts talking!

    Good luck with your followup appt. and tests. Let us know how it goes, OK? I'm glad you found us, too---someone's always here for you. Wishing you luck and sending my best wishes, Vee

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