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I’ve been in and out of remission over the years but my ANA is now positive. My symptoms are back. What should l do?

September 19
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A MyLupusTeam Member

Get a second opinion. Doctors tend to diagnose lupus differently. In my experience, some listen to the patient and do labs, some go by the 11 criteria for lupus, and others rely only on lab results. I hope you find someone who does all three. 💜

September 19 (edited)
A MyLupusTeam Member

Sorry I meant to say the ANA is now negative but the symptoms are the same.

September 19
MyLupusTeam

Living with a condition for 35 years that keeps shifting the goalposts is genuinely exhausting — and the fact that symptoms are returning alongside a newly positive ANA is absolutely worth taking seriously with your doctor.

A positive ANA on its own doesn't confirm lupus, but combined with returning symptoms and a long Show Full Answer

Living with a condition for 35 years that keeps shifting the goalposts is genuinely exhausting — and the fact that symptoms are returning alongside a newly positive ANA is absolutely worth taking seriously with your doctor.

A positive ANA on its own doesn't confirm lupus, but combined with returning symptoms and a long history, it gives your rheumatologist important context to work with. ANA results can change over time, especially with fluctuating disease activity. Here's what to discuss with your rheumatologist as a next step:

- Additional autoantibody tests — such as anti-dsDNA, anti-Sm, anti-Ro/SSA, which are more specific to lupus
- Complete blood count (CBC) — to check red and white blood cells and platelets
- Complement levels (C3 and C4) — low levels can signal active disease
- Kidney function tests and urinalysis — to check for any organ involvement
- Inflammation markers — like CRP and ESR

Bring a detailed list of your returning symptoms to the appointment. The full picture of lab results *and* symptoms together is what helps your doctor make the most accurate assessment.

September 19

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