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About Rusty Ford
Expertise
I can answer questions about most types of arthritis and the drugs and procedures used to treat them.

Experience
I manage the one of largest arthritis websites on the internet http://arthritis-symptom.com/ I have been involved with publishing artritis research for 15 years and aswering questions related to almost any type of arthitis.

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Arthritis-Symptom.com
Arthritis Foundation

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HealingWell.com
naturalhealthweb.com

 
   

You are here:  Experts > Health/Fitness > Medical Specialists > Rheumatology (including Arthritis) > RA?

Topic: Rheumatology (including Arthritis)



Expert: Rusty Ford
Date: 4/1/2008
Subject: RA?

Question
My ANA is 1:640 and RF is 20. Not sure if its just 20 or 1:20, I think 20. On a regular basis, with flare ups from time to time, I have Raynaud’s, achy and painful joints, lower back pain every morning, fatigue, mouth ulcers sometimes and nose ones too, also low grade fever of about 100 or so, wrist pain, knee pain etc. I also have had breakouts of hives, and am itchy all the time.  All my other labs like sed rate, DNA Antibodies etc came back normal. But I still have all these symptoms. I also had an enlarged spleen at one point, which on last CT was normal size.
Should I be concerned about the slightly elevated ANA and RF as possibily indicating RA?
Thanks, Megan


Answer
Megan,

Your RA Factor is in the normal range. Twenty and under is considered normal. This does not mean much since you can have RA with out any RA Factor. The combination of ANA and RA Factor and your symptoms points to some type of autoimmune problem. The symptoms are more in line with lupus than RA. Diagnosing these conditions is not easy and getting the correct diagnosis is important in order to develop a treatment plan.

You should be concerned enough to keep seeing your doctor until you get a precise diagnosis. If you are not seeing a Rheumatologist then you may want to ask for a referral.

If you want more information about lupus here is our link to that section.

http://arthritis-symptom.com/lupus/index.htm

Do not take this as a diagnosis. These symptoms can be consistent with a couple of conditions. So please continue to push your doctors for a diagnosis.

I wish you the best

Rusty


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