Hi davidl

Usually there are two parts to an anti-nuclear antibody (ANA) test. The first is the titre (level of ANA in the blood) - your titres are high. The second is the staining pattern of your anti-nuclear antibodies in the nuclei of your cells - for example, a "speckled" pattern suggests but is not necessarily diagnostic of SLE or rheumatoid arthritis while a "homogeneous" pattern can be suggestive of SLE.

Did your health care team do the second part? If not, it might be worth getting re-tested including this - it could give your rheumatologist more information.

There is more on this here; https://labtestsonline.org/understan.../ana/tab/test/.