1. ANA results are NOT a reflection of inflammation, although we do have blood markers that can tell us about
inflammation. As far as I've read in over a decade with Lupus, variations in ANA really are not indicative of anything!
2. UCTD is simply a placeholder for auto-immune disease that has not yet shown itself to be lupus, scleroderma, rheumatoid arthritis, Sjögren's syndrome, myositis, and/or vasculitis. Here is a link that talks more about
There is really no difference in treatment. Sometimes there are symptoms outside these disease; in that case treatment is per-symptom.
Personally I totally avoid mentioning a diagnosis to the Drs unless they mention it first. I want them thinking as broadly
as possible, not to narrow in on what my limited exposure and lack of experience might come up with.
3. You are right, Plaquenil could already be helping some, or you could be coming out of a flare. Unfortunately, we can only guess at which it is; or it could be another reason altogether. Welcome to our mysterious, non-linear disease!! Sometimes after a while of watching how our bodies react to different things we can begin to identify cause/effect, but since it's different for each person there is no established literature or pattern to refer to.
4. My Dr also mention I "might have fibromyalgia, too" years and years ago. For me, and for most of us, I think, it was down there in the noise, like, "you might have a hangnail, too". Anything that might have been fibro was so much less bothersome that Lupus - well, it's never mattered that much. One thing that is of note -- if you are put on prednisone, aches/pains that go away with prednisone are generally associated with auto-immune illness. Prednisone has little or no effect on fibromyalgia symptoms.
General tips -- with auto-immune diseases, don't sweat the diagnosis - these illnesses are tricky and take a while to diagnose. Symptom control and treatment is much more important than diagnosis. (Unless you need dx for insurance/disability reasons.)
Treatments in order of general use - Plaquenil, Prednisone, (Imuran, Cellcept, MTX), Benylsta, and IVIG. Plaquenil to slow disease progression, Prednisone to combat & control inflammation, Imuran, Cellcept, MTX for disease control. Then Benylsta & IVIG if nothing else is helpful.
Let us know what other questions you have!
Lynnwood, Lupus & Sjogren's Moderator, Dx: 2002DIAGNOSING LUPUS & HW's LUPUS 101
"Life is far too important to be taken seriously." - Oscar Wilde