What is borderline lupus?

A doctor may use the phrase "borderline lupus" when symptoms or blood test results suggest lupus, but there is not enough information for a definite diagnosis.
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Can borderline lupus be cured?

Lupus is a long-term condition that causes joint pain, skin rashes and tiredness. There's no cure, but symptoms can improve if treatment starts early.
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What does a borderline ANA result mean?

About 10 percent of young women test borderline positive in the ANA test, but it doesn't mean they have lupus. "That just means you make auto-antibodies against your cells rather than just against infections," Gilkeson said. "A lot of people make auto-antibodies, but never develop the disease.
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Can you have a mild form of lupus?

Types of lupus

Symptoms range from mild to severe, and many people will have long periods with few or no symptoms before experiencing a sudden flare-up, where their symptoms are particularly severe. Even mild cases can be distressing and have a considerable impact on a person's quality of life.
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What are the levels for lupus?

Low C3 and C4 levels (below 60 for C3 and below 15 for C4 in the usual American measure), occur in active lupus, especially when the kidneys are affected or there is immune breakdown of blood cells (autoimmune hemolytic anemia, AIHA).
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Lupus Symptoms - Dr. Lynn Ludmer - Mercy



What are symptoms of mild lupus?

Lupus symptoms include: 1,2
  • Muscle and joint pain. You may experience pain and stiffness, with or without swelling. ...
  • Fever. A fever higher than 100 degrees Fahrenheit affects many people with lupus. ...
  • Rashes. ...
  • Chest pain. ...
  • Hair loss. ...
  • Sun or light sensitivity. ...
  • Kidney problems. ...
  • Mouth sores.
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What is considered a positive lupus test?

Antinuclear antibody (ANA) test.

A positive test for the presence of these antibodies — produced by your immune system — indicates a stimulated immune system. While most people with lupus have a positive ANA test, most people with a positive ANA do not have lupus.
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What triggers lupus?

Lupus can be triggered by certain types of blood pressure medications, anti-seizure medications and antibiotics. People who have drug-induced lupus usually get better when they stop taking the medication. Rarely, symptoms may persist even after the drug is stopped.
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At what age does lupus usually show up?

Symptoms and diagnosis occur most often between the ages of 15 and 44. Symptoms of lupus will occur before age 18 in only 15 percent of the people who are later diagnosed with the disease.
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How do you treat borderline lupus?

How is systemic lupus erythematosus (lupus) treated?
  1. Corticosteroid cream for rashes.
  2. Nonsteroidal anti-inflammatory drugs (NSAIDs). These can treat mild joint or muscle pain and fever.
  3. Antimalarial medicines. They can treat fatigue, joint and muscle pain, and skin rashes.
  4. Corticosteroid pills.
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Can you have lupus with a borderline ANA?

It is very rare, but it is possible to have a negative ANA test and still have lupus. In these instances, other antibodies are present. Many different laboratory tests can be used to detect physical changes or conditions in your body that can occur with lupus.
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What level of ANA indicates lupus?

The initial requirement of the criteria for lupus diagnosis is a positive ANA test with a titer of at least 80. The numerical value of the titer refers to the ratio of blood serum being evaluated to a dilution agent.
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What are the early signs of lupus in females?

Common symptoms include fatigue, hair loss, sun sensitivity, painful and swollen joints, unexplained fever, skin rashes, and kidney problems. There is no one test for SLE. Usually, your doctor will ask you about your family and personal medical history and your symptoms. Your doctor will also do some laboratory tests.
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What should you not do if you have lupus?

5 Things to Avoid if You Have Lupus
  1. (1) Sunlight. People with lupus should avoid the sun, since sunlight can cause rashes and flares. ...
  2. (2) Bactrim and Septra (sulfamethoxazole and trimethoprim) Bactrim and Septra are antibiotics that contain sulfamethoxazole and trimethoprim. ...
  3. (3) Garlic. ...
  4. (4) Alfalfa Sprouts. ...
  5. (5) Echinacea.
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What autoimmune diseases mimic lupus?

Here are the conditions that are most likely to mimic the symptoms of lupus and how to make sure you get the right diagnosis.
  • Rheumatoid arthritis. ...
  • Rosacea and other skin rashes. ...
  • Dermatomyositis. ...
  • Undifferentiated Connective Tissue Disease. ...
  • Hashimoto's disease. ...
  • Sjögren's syndrome. ...
  • Fibromyalgia.
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How do I know if I've got lupus?

Your doctor will look for rashes and other signs that something is wrong. Blood and urine tests. The antinuclear antibody (ANA) test can show if your immune system is more likely to make the autoantibodies of lupus. Most people with lupus test positive for ANA.
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What vitamins should I avoid with lupus?

People with lupus should avoid certain supplements, including echinacea, spirulina, and vitamin E. These supplements may increase the immune system response and trigger lupus symptoms. It is also helpful to avoid excess sun exposure, salt, and alfalfa sprouts, which may also make symptoms worse.
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Is lupus caused by stress?

Although doctors haven't proven that stress is a direct cause of lupus, it's known to trigger flare-ups in people who already have the disease. Stressful events that can make symptoms worse include: A death in the family. Divorce.
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What organ does lupus affect first?

Kidneys About one half of people with lupus experience kidney involvement, and the kidney has become the most extensively studied organ affected by lupus. Lungs About 50% of people with SLE will experience lung involvement during the course of their disease.
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Who normally gets lupus?

Anyone can get lupus; however, women get the disease about nine times more often than men. Most often it happens in people between ages 15 and 45 years, but lupus can occur in childhood or later in life as well.
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Can you have lupus for years and not know it?

Lupus symptoms can also be unclear, can come and go, and can change. On average, it takes nearly six years for people with lupus to be diagnosed, from the time they first notice their lupus symptoms.
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What are the 11 markers for lupus?

The 11 Signs of Lupus: What You Need to Know
  • A butterfly-shaped rash across both sides of the face.
  • Raised, red skin patches.
  • Sensitivity to light.
  • Ulcers in the mouth or nose.
  • Arthritis plus swelling or tenderness in two or more joints.
  • Seizures or other nervous system problems.
  • Excessive protein in urine.
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Is there a blood test to confirm lupus?

98% of all people with systemic lupus have a positive ANA test, making it the most sensitive diagnostic test for confirming diagnosis of the disease. The test for anti-nuclear antibodies is called the immunofluorescent antinuclear antibody test. In this test, a blood sample is drawn and sent to a laboratory.
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What is the next step after a positive ANA test?

So if you have a positive ANA, don't panic. The next step is to see a rheumatologist who will determine if additional testing is needed and who will make sure you will get the best care for your particular situation.
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