I think nuclear dot has some association with liver disease of some sort.
It's important to note that the ANA numbers and patterns are only INDICATORS of where the Drs should look for disease symptoms, auto-immune diseases are very tricky and are diagnosed by a collection of symptoms, not on a single blood test.
Yes, anti-dsDNA & anti-smith are part of Elisa -- maybe there is some other test they ran that is part of Elisa that made the overall score positive? I'm just guessing here, most of us don't have these tests.
Sorry not to be of more help, just make sure to write down all your questions so you will remember them when you see the Dr on Monday.
Lynnwood, Lupus & Sjogren's Moderator, Dx: 2002DIAGNOSING LUPUS & HW's LUPUS 101
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