Has anyone been diagnosed through a dermatologist due to negative bloods?

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VLou*
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Date Joined Feb 2015
Total Posts : 63
   Posted 1/4/2016 1:15 PM (GMT -6)   
Anyone?

Thanks :)

Lynnwood
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Date Joined May 2005
Total Posts : 7720
   Posted 1/4/2016 1:58 PM (GMT -6)   
Negative bloods? I don't know what that means.

I suppose a dermatologist could diagnose Cutaneous Lupus Erythematosus, a form of lupus that is limited to the skin, but I've never heard of a dermatologist who even does bloodwork.
Lynnwood, Lupus & Sjogren's Moderator, Dx: 2002
DIAGNOSING LUPUS & HW's LUPUS 101
"Life is far too important to be taken seriously." - Oscar Wilde

VLou*
Regular Member


Date Joined Feb 2015
Total Posts : 63
   Posted 1/4/2016 2:02 PM (GMT -6)   
Thanks for the reply. I meant failing to get a diagnosis from a rheumatologist because of negative blood tests.

Tinkerbee
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Date Joined Feb 2013
Total Posts : 51
   Posted 1/4/2016 3:03 PM (GMT -6)   
My ANA has been borderline for 28 years. You can be dx'd by biopsy for DLE & CLE. I was dx'd for DLE. And my derm did a complete lupus blood workup first.

Lynnwood
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Date Joined May 2005
Total Posts : 7720
   Posted 1/4/2016 7:03 PM (GMT -6)   
A rheumatologist should be diagnosing Systemic Lupus (SLE) based on having 4 of 11 symptoms, as described by www.lupus.org. As Tinkerbell mentioned, diagnosis of Cutaneous (CLE) and Discoid (DLE) Lupus is slightly different, it could be done by a dermo via biopsy. Another kind of Lupus is Lupus Nephritis, which primarily attacks the kidneys.

I assume you mean you were NOT diagnosed because of a non-positive ANA. If you are talking about Systemic Lupus, your rheumatologist should be using the 4 of 11 guideline - you CAN have Lupus without having a positive ANA.

Yes, plenty of people are NOT diagnosed because they do NOT have a positive ANA.

If that were the case for me, and I felt strongly that I met several of the other 11 symptoms, I would probably want a second opinion from another rheumatologist.
Lynnwood, Lupus & Sjogren's Moderator, Dx: 2002
DIAGNOSING LUPUS & HW's LUPUS 101
"Life is far too important to be taken seriously." - Oscar Wilde
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