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-   -   ANA-positive (https://www.neurotalk.org/autoimmune-diseases/199638-ana-positive.html)

Swedishguy 01-13-2014 12:58 PM

ANA-positive
 
Hi! My mother had Lupus and I have been tested ANA-positive. But my GP didnīt want to follow up the test result. He said I was just a "fraction above the tolerated limit". But I dont understand that. Isnīt ANA either posivit or negative? Should I be concerned? Maybe book another appointment?

mrsD 01-13-2014 01:46 PM

ANA may fluctuate normal and elevated. It is reported as a ratio of numbers.... so doctors can see that and predict the next course of action. Hence there can be retests to see what is going on.

Labs also can make errors...and doctors know that too.

Swedishguy 01-13-2014 01:49 PM

Why would he not advice me to take another test then, to rule out mistakes and/or fluctuation?

mrsD 01-13-2014 01:58 PM

You will have to ask your doctor for those reasons.

Swedishguy 01-13-2014 02:01 PM

He just felt so unbothered by it. It felt like he was thinking "Lupus is so rare, itīs no use testing this healty young man for it"... I recent that train of thought though.

mrsD 01-13-2014 02:50 PM

That is how doctors are for the most part.

Hopeless 01-14-2014 01:11 AM

False Positives
 
Quote:

Originally Posted by Swedishguy (Post 1043299)
Hi! My mother had Lupus and I have been tested ANA-positive. But my GP didnīt want to follow up the test result. He said I was just a "fraction above the tolerated limit". But I dont understand that. Isnīt ANA either posivit or negative? Should I be concerned? Maybe book another appointment?

Hi Swedishguy,

I presented with many of the "symptoms" of Lupus and the doc ordered the ANA test which came back positive. I was then sent to a specialist for further evaluation. It was concluded that my blood test result was a "false positive". It is my understanding that there are a variety of reasons why an ANA test will be "positive" but NOT be Lupus.

There is someone here that has posted about positive ANA test results and explained it in great detail. I will try to locate that post for you as it may be very beneficial to you.

The fact that your mother had Lupus and you had a positive ANA may mean that you might consider seeing a rhumematologist (spelling??) for further evaluation. If you have NO symptoms, you could have a false positive. That may be the reason your doc appeared to just dismiss the lab result. The test alone is not conclusive. It is used as a tool to be used with clinical evaluation.

Swedishguy 01-15-2014 06:04 AM

Thanks for the reply!
How common is it to be false-positive? I DO think the doctor should have sent me on follow up tests. In sweden I cant go to a specialist on my own accord, I have to be sent there by my GP.

mrsD 01-15-2014 06:57 AM

This article explains ANA testing in detail and what causes
false positives, etc.

Quote:

How should I handle a positive ANA reading?

Please note a positive ANA does not require immediate treatment. Remember, lab levels vary, some autoantibodies are normal and this may be a false positive result. Your doctor will determine what happens next based on additional exploration. By working with your doctor and asking questions you will get the best care for your particular situation.
http://www.rheumatology.org/Practice...ies_%28ANA%29/

So your doctor is doing what he/she should be doing.

This article explains the medications and other variables that might lead to a false positive result:
http://www.cigna.com/healthwellness/...ibodies-hw2297

Hopeless 01-15-2014 12:23 PM

mrsD,

Great article. Thanks for the link. I am sure Swedishguy will really appreciate it. Spot on for his question.

Your post deserved more than just a "click" on Thanks. It deserved a message of thanks.

Hopeless


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