My daughter is 10 years. She is suffering from pain in her left-hand palm and arch of her left foot. ESR, CRP are higher than normal. Pus cells in urine test are high also. Index of Lupus anticoagulant is 22.7 ANA is positive speckled 1:40 All other tests are good (TSH, anit-DNA, liver, chest, abdomen & pelvic sonography)