AAAAA
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28 y/o female c/o fatigue, diarrhea, arthalgia, tired, weak, multiple bowel movement and presented to your office. Lab: ANA positive with no discoid lupus rash. What is the diagnosis with ANA positive ?
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| AAAAA
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A. chronic active hepatitis
B. cryptogenic cirrhosis
C. drug-induced
D. IBS
E. All of above
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| AAAAA
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F. Lupus
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| AAAAA
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If the patient has Anti SS antibodies, what is the definite diagnosis ?
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| AAAAA
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SS DNA antibodies
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| aml
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Mixed connective tissue disorders (MCTD) possible.
Sjogren's not sure as no symptoms suggestive.
SLE not possible as 9/11 score not met
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| AAAAA
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Answer to Question 1 is E ALL of above ANA is in almosts all inflammtory disease
Also ANA is in about 15% of "normal" population !
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| AAAAA
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Dr. AML,
Only 4 of 11 criteria (not all at once ) to make the diagnosis of SLE Lupus !
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| aml
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thanks a lot
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