What Does This Lab Report Indicate?
Question: experiencing joint pain, fatigue. ANA test result 1:1280, speckled. SS-A test pos. at 4.8. TPO result 573 but free t4 and t3 in normal range. take levothyroxine
Brief Answer:
Naproxen should help
Detailed Answer:
Thanks for asking on HealthcareMagic.
I have gone carefully through your query and understand your concerns. Your join pain could be attributed to the ANA positivity but the condition calls for further investigation. You need to get a few tests done:
* Blood for RA factor, Anti XXXXXXX Antibody, C-Reactive Protein, Anti-dsDNA, Anticentromere Antibody
Further plans can be made based on the reports. Going through the following should help:
https://www.icgp.ie/assets/9/EB9FF8A7-19B9-E185-830200BC23B0AFCE_document/ANA_43-44.pdf
As of now you may benefit from taking Tab. Aleve (naproxen) 500 mg when needed (preferably in full stomach).
Let me know if I could help further.
Regards
Naproxen should help
Detailed Answer:
Thanks for asking on HealthcareMagic.
I have gone carefully through your query and understand your concerns. Your join pain could be attributed to the ANA positivity but the condition calls for further investigation. You need to get a few tests done:
* Blood for RA factor, Anti XXXXXXX Antibody, C-Reactive Protein, Anti-dsDNA, Anticentromere Antibody
Further plans can be made based on the reports. Going through the following should help:
https://www.icgp.ie/assets/9/EB9FF8A7-19B9-E185-830200BC23B0AFCE_document/ANA_43-44.pdf
As of now you may benefit from taking Tab. Aleve (naproxen) 500 mg when needed (preferably in full stomach).
Let me know if I could help further.
Regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I have had all of the tests you mention. only positive for SS-A. could this be lupus?
Brief Answer:
Could be lupus
Detailed Answer:
Thanks for writing back. Anti-Ro/SSA and Anti-La/SSB are antibodies found mostly in people with systemic lupus (30-40%) and primary Sjogren’s syndrome. They are also commonly found in people with lupus who have tested negative for anti-nuclear antibodies. Anti-Ro and anti-La can also be found in other rheumatic diseases, such as systemic sclerosis, rheumatoid arthritis, and polymyositis, and are present in low titers in about 15% of healthy individuals. These antibodies are not highly specific for systemic lupus, but they are associated with certain conditions, including extreme sun sensitivity, a clinical subset of lupus called subacute cutaneous lupus erythematosus (SCLE), and a lupus-like syndrome associated with a genetic deficiency of a substance called complement (a system of proteins that helps mediate your body’s immune response). You therefore need to visit a rheumatologist who would be able to correlate clinically.
Regards
Could be lupus
Detailed Answer:
Thanks for writing back. Anti-Ro/SSA and Anti-La/SSB are antibodies found mostly in people with systemic lupus (30-40%) and primary Sjogren’s syndrome. They are also commonly found in people with lupus who have tested negative for anti-nuclear antibodies. Anti-Ro and anti-La can also be found in other rheumatic diseases, such as systemic sclerosis, rheumatoid arthritis, and polymyositis, and are present in low titers in about 15% of healthy individuals. These antibodies are not highly specific for systemic lupus, but they are associated with certain conditions, including extreme sun sensitivity, a clinical subset of lupus called subacute cutaneous lupus erythematosus (SCLE), and a lupus-like syndrome associated with a genetic deficiency of a substance called complement (a system of proteins that helps mediate your body’s immune response). You therefore need to visit a rheumatologist who would be able to correlate clinically.
Regards
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar