Suggest treatment for lupus
Patient: I TESTED POSITIVE FOR LUPUS; BORDERLINE POSITIVE ANA TITER 1:40; AND ANA PATTERN SPECKLED. I HAVE JOINT PAIN WITH PSORIASIS LIKE RASH OVER JOINTS THAT COMES AND GOES. HISTORY OF BREAST AND SKIN CANCER. AGE 56, FEMALE. HOW TO INTERPRET MY MOST RECENT TEST RESULTS? AND WHAT NEXT STEPS SHOULD I TAKE. MY DOC DOESN’T SEEM TO KNOW WHAT’S NEXT. Doctor: Titer 1:40 is not significant, However in view of speckled pattern and psoriasis like skin lesions kindly get ANA blot, Anti Ro, Anti La done to rule out sub acute cutaneous lupus (SCLE). Skin Bx will help to differentiate between psoriasis and SCLE.