Appointment Prep

Can you have ANA negative lupus?

March 10, 2025 ·

Getting an autoimmune diagnosis like lupus is a life-changing event. But what we don’t talk about enough is how life-changing the journey to that diagnosis can be. For many, it’s a rollercoaster of confusing symptoms, endless doctor visits, and—often—conflicting test results. One of the most common points of confusion? The ANA test, its results, and what they actually mean when you’re trying to figure out if you have lupus.

Let’s dive into the complexities of the ANA test, what it means for lupus, and why focusing on your symptoms might be the key to getting the answers you need.

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What to consider when facing a biologic

February 24, 2025 ·

Talking about changes to our autoimmune treatment can be overwhelming—especially if the conversation turns to biologics. Many people managing rheumatoid arthritis (RA) or other autoimmune diseases find themselves in a rheumatologist’s office, hearing that a biologic might be the next best step. So, what exactly are biologics, and how can you make the best decision for yourself? Let’s dive into the basics and explore some key questions to ask so you can feel more comfortable with whatever path you choose.

What Are Biologics?

Biologics are a class of medications that have brought a whole new level of specificity to autoimmune treatment. Unlike traditional drugs, biologics are made from living organisms—proteins, antibodies, or cells—which scientists isolate and modify to target specific aspects of the immune system. For people with autoimmune diseases, these medications can help reduce inflammation and limit the immune system’s overactivity that causes joint damage.

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Rheumatology Appointments, Morning Stiffness & Joint Pain

January 20, 2025 ·

Let’s delve into some crucial topics brought up by my newsletter readers: how to handle the wait for your rheumatology appointments, the mystery of morning stiffness, and dealing with joint pain.

Palindromic Arthritis: A Closer Look

One of the most intriguing conditions I frequently encounter is palindromic arthritis. This type of inflammatory arthritis comes and goes, causing intense but short-lived joint inflammation and pain. It tends to affect the joints of your hands, fingers, knees, and shoulders. Unlike gout or CPPD (pseudogout), which can have similar symptoms, palindromic arthritis doesn’t involve crystals in the joint fluid. Instead, it affects the structures around the joint, like tendons and ligaments.

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Positive ANA Test: Lupus Symptoms & Next Steps

December 16, 2024 ·

If you’ve recently had an ANA (antinuclear antibody) test and are feeling a bit overwhelmed, you’re not alone. A positive ANA result can stir up a lot of questions and worries, especially when it comes to conditions like lupus.

What Does a Positive ANA Mean?

Just because your ANA test came back positive doesn’t automatically mean you have lupus. The ANA test is a tool that helps us understand more about your immune system, but it’s only one piece of the puzzle.

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JIA v. RA: Key Differences

November 18, 2024 ·

When we think about arthritis, it’s usually in the context of adults. But what happens when kids are affected? If you’ve heard about Juvenile Idiopathic Arthritis (JIA), you might be wondering how it differs from what adults experience. Let’s dive into the world of JIA, how it compares to Rheumatoid Arthritis (RA), and what you need to know about managing joint pain in children.

What is Juvenile Idiopathic Arthritis?

Juvenile Idiopathic Arthritis (JIA) is a type of arthritis that affects children under 16. Unlike Rheumatoid Arthritis (RA), which is typically an adult condition, JIA presents some unique challenges and characteristics. The term “idiopathic” in JIA means that we don’t have a clear understanding of what causes it. However, we do know that it involves inflammation in the joints, which is why it’s grouped under autoimmune conditions.

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