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das
06-11-2013, 11:52 AM
I have been told that if you are diagnosed with this pattern then all your positive labs mean nothing because this is the pattern of HEALTHY people, regardless of the lab value. Does anyone know anything about this?

tgal
06-11-2013, 06:51 PM
What you have been told is not accurate. ANA itself is NOT a test for Lupus or any auto immune disease (there isn't a test for Lupus) so many healthy people actually have a positive ANA. positive ANAs often makes GPs send patients to specialists for a further look. There are some NEW studies that suggest that the Nuclear Dense Fine Speckled pattern MAY be a way to weed out healthy patients from people with AI disease if all other testing is normal (meaning if could be a false positive or positive for a different reason). If other testing and symptoms confirm Lupus or other AI diseases then this pattern does not rule it out. It was found to rule it out of 1/3 of patients if memory serves.

Although more studies need to be done on this it appears to be just like all other testing for Lupus and simply gives clues but no definite answer. Hope this helps

tgal
06-11-2013, 06:59 PM
A bit more iinformation. Hope this helps clear things up...

"It has been reported that up to 20% of healthy people have positive ANA. Interestingly, of these healthy individuals, 33% had specific antibodies directed against the dense fine speckles 70 (DFS70) antigen, which ANA positive patients with a RD usually do not have. Therefore, it can be argued that ANA positive patients with a dense fine speckled pattern have a higher probability of being in good health."

http://romatizma.dergisi.org/text.php3?id=453

das
06-12-2013, 10:37 PM
Thank you for the replies and the link....it is making more sense to me now. My ANA pattern seems to change...2 years ago it was homogenous and a few weeks ago it was the DFS pattern. I talked to my Rheum today and she said that with a high ENA/ANA it rules out "healthy false positive". My current labs are:

ENA/ANA
NSpl 1:5120 (dense fine speckles) (DFS)

NSpl includes p80 colin and SP 100
LEDGF/DFS70

ENA:

Sjogren's Syndrome A/Ro 60 Antigen : high positive
Ro 52 Antigen: high positive
RNP: high positive
Smith Antigen: low positive
Sci-70 (topoisomerase l): low positive

I also have chronic low white count (CBC)

Mando
06-25-2013, 07:50 AM
I have a positive ANA with dense fine speckled pattern. They did not do a titre. I also happen to have 15 to 20 of the most common symptoms seen in lupus. Will the DFS ANA result throw my concerns out the window with my doctor?