I am wondering if a positive ANA and positive dsDNA equal Lupus? ... My rheumatologist says l have "possible" Lupus, Spondyloarthropathies, Fibromyalgia, and psoriatic arthiritis. ... How do I get a diagnosis? Can a person have this many things at once?
Unfortunately, Lupus, Spondyloarthritis, and Fibromyalgia are all diagnosed by a set of symptoms, not by specific blood markers. In general, Lupus responds to Prednisone and Fibro does not. I think Spon. can be eliminated by testing a specific gene marker.
Check out the list for diagnosing Lupus, 4 of 11, as seen in the link below. There are similar lists for Fibro and Spon. These diseases are all difficult to diagnose, many of us it takes years to get a firm diagnosis. Is you rheumy saying you have all of these or that you may have any of these? With overlapping symptoms, it's really difficult.
The most important thing is that your symptoms are being treated and alleviated. If this rheumy is hesitant to do that, I'd suggest a second opinion. One way to make sure your rheumy is up-to-date on Lupus is to find your local chapter of www.lupus.org
, then ask them which local Drs are active on their advisory board -- these are the guys who have the best Lupus knowledge.
Lynnwood, Lupus & Sjogren's ModeratorDIAGNOSING LUPUS & LUPUS RESOURCES
"Life is far too important to be taken seriously" - Oscar Wilde