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Suggest Treatment For Severe Nosebleeds And A Positive ANA Result
Question: My son has a positive ANA and nosebleeds, severe, frequent. He also has been diagnosed with symptoms of Aspergers.
We are waiting results on a PT and PTT, CBC, C M P, and a new test called ADVISE.
Will any of these tests reveal what is causing the problem?
We are waiting results on a PT and PTT, CBC, C M P, and a new test called ADVISE.
Will any of these tests reveal what is causing the problem?
Brief Answer:
Is it lupus
Detailed Answer:
good evening..
thank you for writing on health care magic
I have gone through your history. But as of now it doesn't look like lupus. I would like to ask you a few more details :
1. how frequent are the nose bleeds?
2. does he have bleeding from any other site? in the childhood or now
3. anyone in family with similar history?
4. how strong is the ana title. ..like what is the exact report
5. does he have other symptoms like oral ulcers, hair fall, rashes, or joint pains
?
As for AVISE test, it mainly detects the complement. it is used to detect lupus... But saying that if he doesn't have symptoms of lupus and even if ANA comes positive. it may not be that condition as nose bleeds are not a feature of lupus unless his platelets are very low. The other condition at this age is Osler Weber rendu disease which can cause severe nose bleeds
But I guess we need to rule out lupus and other bleeding disorder first before going to that condition
do let me know these queries
regards
Dr naval
Is it lupus
Detailed Answer:
good evening..
thank you for writing on health care magic
I have gone through your history. But as of now it doesn't look like lupus. I would like to ask you a few more details :
1. how frequent are the nose bleeds?
2. does he have bleeding from any other site? in the childhood or now
3. anyone in family with similar history?
4. how strong is the ana title. ..like what is the exact report
5. does he have other symptoms like oral ulcers, hair fall, rashes, or joint pains
?
As for AVISE test, it mainly detects the complement. it is used to detect lupus... But saying that if he doesn't have symptoms of lupus and even if ANA comes positive. it may not be that condition as nose bleeds are not a feature of lupus unless his platelets are very low. The other condition at this age is Osler Weber rendu disease which can cause severe nose bleeds
But I guess we need to rule out lupus and other bleeding disorder first before going to that condition
do let me know these queries
regards
Dr naval
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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