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Re: Asymptomatic + ANAFrom: Arthurfree (Arthurfree@aol.com)Mon Mar 16 16:17:59 1998
In a message dated 98-03-15 23:55:18 EST, you write: << Another patient is one of our office staff (permission given to post her case), a 22 year old nulligravida, on DepoProvera, who we found to have a 1:80 ANA last year. A repeat titer one year later is 1:320. The report said nucleolar pattern both times.
Hugo D. Ribot Jr., M.D., FACOG
>> Now I know why you were asking about medicine texts . . . BTW, Cecil is still just fine, it helps to get a new edition every ten years or so. But for rheumatology, I've always found the "Primer on Rheumatic Diseases" much more helpful. It is available from the Arthritis Foundation and is not too spendy. I personally don't know what to do with a minimally positive ANA that I shouldn't have ordered in pregnancy. But in the asymptomatic non pregnant patient with no proteinuria or criteria for lupus it gets ignored. Arthur Freeland Warrensburg Missouri
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