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How would you approach evaluation and management of a patient with chronic arthralgias and bilateral hand weakness who has a positive ANA (1:160) and low-titer anti-SSB positivity, in the setting of otherwise negative ENA panel, normal inflammatory markers, normal complement levels and immunoglobulins, and unrevealing EMG/NCS testing?
1 Answers
Mednet Member
Rheumatology · University of California, Berkeley and San Francisco
The low titer SSB/La antibody would only factor in to consideration of SjD if there were other suggestive features, like documented hypo salivation and/or high ocular staining score, neuropathy etc.
Would learn when they were totally well and what potential triggering events may have occurred.
If they...