Need help figuring out if i'm 'lupie' or 'loopy'......
Hi everyone i'm a 23 year old female, so about 3months ago I was diagnosed with lupus nephritis by a kidney specialist. 2 days ago I was undiagnosed with lupus(but not with the kidney issues) by a rheumy...I tested negative for Anti- dsDNA Ab for both docs tests. But I tested positive for some other things. Can anybody tell me if I might still have lupus or what...because after getting the initial diagnosis I read up about what symptoms a flare could bring about and I had all except for a typical malar rash(but i get random red,hot clown cheeks and nose tho). Also I have been on meds before I got the rheumy's tests done. And they didn't ask about 'possible symptoms-like a flare'. Just noted that I come from a family with lots of autoimmune issues, and a cousin with lupus nephritis.
I'm on 40mg of pred now,down from 60. 1500mg of cellcept, izonozoid,vtiamin D, vitamin b, calcium, water retention pills, high blood pressure pills and cholesterol pills. Could this have affected the rheumys results.
These are my labs, if anyone is interested in helping me trying to figure out what's happening(I hope you are,lol)
ANF Elisa Profile POSITIVE
ANF IFA TITRE 0 0-39
The immunological markers should always be interpreted in
conjunction with the patient's clinical signs and symptoms.
The presence of 1 or 2 auto antibodies at low titres are
probably not clinically significant in the absence of any
relevant clinical symptoms or signs.
A multiplex ELISA test is used for the simultaneous
detection of ant-dsDNA, ANF and ENA's. These test results
can not be reported in titres.
The ANF titre is an immuno-fluorescent test and lacks the
sensitivity of the ELISA test. Anti-dsDNA is also not
detected by the Immunofluorescent test.
For this reason it is possible to have a positive ELISA test
but a negative ANF titre IF test, due to the presence of
anti-dsDNA or very low concentrations of extractable nuclear
Anti- dsDNA Ab NEGATIVE
Anti-DNA confirmatory NEGATIVE
EXTR.NUCLEAR Ab SCREEN POSITIVE
SSB (La) Ab POSITIVE
SSA (Ro) Ab POSITIVE
SSA60 ANTIBODIES POSITIVE
final question is that the labs said that an ANF titre IF test could be negative due to extractable nuclear antibodies (which i tested positive for), so what does that mean?
I hope someone can help me..
Have a good evening folks...sweet dreams..it's night time on my side of the world
(I apologize for the looong post, but I really need some clarity)