Possibly they have adopted the 2019 EULAR ACR SLE Classification Criteria intended for research BUT not to diagnose.
This has positive ANA as an entry criterion.
Figure 1 in this Cureus paper, on right side, lists blood tests.
Under this figure it says some cases will be missed and discusses briefly the case of sero-negative ANA.
Annoying advertisements appear as you scroll, so scroll with care. I found them very irritating, whilst trying to read a paper that was so interesting.
Table 2, in the right column, lists other significient checks that are missed by the 2019 Classification criteria.
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Did the specialist review symptoms or just start the appointment discussing blood results?
In the past people could be diagnosed with seronegative Lupus.
I don't not think the condition has changed but maybe, in some hospitals, the way patients are reviewed has.π
My GP supported me through a second opinion as they knew I did have lupus symptoms. Every week different things were going wrong, but local NHS rheumatologist would not even listen, and said photos could not be used to diagnose.
Thanks for reply it's so confusing and hard when they just leave you to it. Yes I was shocked how he said I can't help you good your gp supported you.So hard when it's lot of different symptoms.
Sorry I'm completely new to health unlocked not too sure how it all works my apologies. Didn't mean any offence I'm.justnpn here to try learn abit more about lupus.I seem to have so many lupus symptoms it's difficult to diagnose.
Bless you it is I was diagnosed at at regular rheumatology appointment butterfly rash came up referred me to dermatology immune specialist who saw me after regular dermatology saw me for dermatitis of scalp.
That's alot to deal with.My mum has fibromyalgia so tiring.
I tend to get the butterfly rash on face and mainly tiredness and ulcers in mouth. Sometimes get digestives problems so trying gluten free diet to see if helps. Fingers crossed π€π€
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