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Re ANA increase

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Some thoughts: I have a friend with diffuse SD, her ANA early on was only

40...the lowest it can be...altho she had skin involvement...I, on the other

hand...presented with just puffy fingers, joint pain, shortness of breath...and

no skin involvement and my ANA lab result was 1280....

My particular subset of the SD is one that rarely has any skin

involvement...having more internal symptoms....and the last page of the study

done suggests that physicians, Internal Med and otherwise need to evaluate all

patients with a positive ANA for this particular subset of SD...patients who

have primarily internal organ involvement but little to none skin

involvement..Dr. Whitman gave me the 6 pg copy of the study to give to all my

local physicians...(who continue to tell me I don't have SD) because I have no

skin involvement.

Hope this helps some...Debbie

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