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Doctors Lounge - Rheumatology Answers
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| elizabethmarie
- Fri Apr 27, 2007 1:01 pm |
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Hello,
i have been seeing a rheumatologist for almost three years, Recently both my PA and rhuemy have relocated; I live in a very rural area ,doctors relocate frequently here.
So my post does'nt go on endlessly, I have the usually complaint :fatigue, joint pain, raynauds, sicca etc.
I have tested postive many times with a very high ANA, low C3,
Scl-70 antibodies, low ANION GAP, Low alkaline phosphatase, high gladian IGg.
I do not have any skin involvement at this time; but there is always "sine scleroderma".
My question is, Should I be looking into other diseases other then scleroderma? The docotr has suspected lupus too because of the high ANA.
If I have to start all over with two new doctors I want to make sure I am going to the right specialst. I will have to travel now because there are no specialist here now.
Please help me with this, what other disease might have the SCL-70 antibodies other then scleroderma?
Thank you,
Elizabethmarie
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| Dr. Chan Lowe
- Sat May 05, 2007 8:52 pm |
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 Anti Scl-70 antibodies seem to be pretty specific for scleroderma. With the elevated ANA, lupus must aslo be considered as you have said.
Rheumatology is a field that is constantly changing as we learn more. It is quite possible that we may learn that Scl-70 antibodies are also associated with other diseases.
Seeing a rheumatologist will be very helpful for you.
Best wishes.
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| elizabethmarie
- Sun May 06, 2007 4:02 pm |
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Dear Doctor,
Thank you,
I hope my question also helps others.
I have tried doing research on this but I am a "lay" person and have limited resources. I have read some articles on Pub Med that have followed some cases of people who tested positive for the SCL-70 ant-bodies and had no signs of scleroderma but were diagnosed with lupus. Interesting?
I da have raynauds and high BP; so there are some issues for me. My main complaints are the joint, ligaments and tendon pain.
What are the chances of seeing a remission?
elizabethmarie
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