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Forum Name: Rheumatology Topics

Question: Hep. B Vaccine & Positive ANA

 cin - Fri Jun 26, 2009 2:58 pm

48 year old female, 5'10" 155 lbs., with autoimmune vitiligo & hypo-thryrodism, also a smoker with Chronic joint/muscle pain & fatigue & loss of appetitie that began after the first of two Hepatitis B vaccines (mandatory for job.) Recent blood work resulted in Positive ANA Pattern (dual) AND high ANA Titer Pattern (speckled) with high RBC. However, Rheumatoid Factor was normal. Appointment w/Rheumatologist is pending. Since what I have is likely another auto-immune disease, most likely Lupus, shouldn't I see an Immunologist instead of a Rheumtologist, especially since my RA factor results are normal? Thanks in advance for your assistance.
 Tom Plamondon PA-C - Sun Aug 02, 2009 9:53 pm

User avatar Hello,
Certainly, either specialty can review your history and get treatment started as indicated. You will also need an eye exam, along with cardiac and renal screening tests if suspecting Lupus.

If you are trying to find common threads between the three conditions, then seeing a immunologist is reasonable especially if you live in a large city or near a large teaching medical center and do not need to drive great distances for care.

Take care and keep us posted.

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