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#112 ANA (Antinuclear Antibody) Test: 5 Pearls Segment

Core IM | Internal Medicine Podcast

NOTE

Focus on What Matters in Lupus Monitoring

Autoantibody levels fluctuate for various reasons, and once a positive anti-nuclear antibody (A and A) result confirms a lupus diagnosis, repeated testing is generally unnecessary and unhelpful. Instead, attention should shift to more relevant laboratory tests for ongoing disease management. Antibodies to double-stranded DNA can vary and may correlate with disease activity in some patients, requiring monitoring. Additionally, complement levels offer valuable insights; a decrease may indicate increased disease activity. Lastly, lymphopenia observed in a complete blood count (CBC) is another important marker to watch in managing lupus.

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