Hi everyone,
I am a 22 year old woman living in Boston. I have had reynauds since I was about 12 or so. I always thought this condition was a little worrisome, but I never thought about it too much. At a very young age I also noticed spider angiomas appearing on my hands (about 4 or 5 of them have come and gone over the years). In the past few months, however, I noticed my reynauds has been especially bad. I am a runner and I continue to run through the winter, and I have had an especially hard time so far in Boston this year and it's only November. I use heat packs and wear polartec gloves when I run, but when the blood comes back to my fingers it has been SO painful sometimes I just have to sit down and try not to make a big deal of it.
I noticed this has been especially bad along with the fact that some of my fingers look arthritic. I am probably overanalyzing that but they are bent up a little on some fingers. I went to see a rheumatologist at Brigham and she did a very comprehensive exam. She looked at the capilaries in my nails, did a joint exam, and then took labs. She said she really wasn't worried. What was most surprising to me was her noticing the spider angiomas/telangeactasias. I never thought of that as being something to worry about.
Regardles, she did a blood draw and I got the following results back. I have been FREAKING OUT because of this positive ANA. I feel a loss of control. Why is my body attacking itself? Is there anything I can do? I do everything I can to be healthy- I am a runner, a vegetarian, I wake up early, I just dont understand. If someone can please explain this.
Also, I have noticed a dull pain in my hands. Today I was cooking and it felt different when I had to squeeze a lemon. I am so nervous about everything!
Lab Results
Test NameResultUnitsReference RangeDate
Vitamin B12268pg/mL250-90011/08/2013
WBC8.35K/uL4-1011/08/2013
HCT39.5%36-4811/08/2013
Hgb13.1g/dL11.5-16.411/08/2013
RBC4.42M/uL3.9-6.011/08/2013
PLT182K/uL150-45011/08/2013
MCV89.4um380-9511/08/2013
MCH29.6uug27-3211/08/2013
MCHC33.2g/dL32-3611/08/2013
RDW13.0%11.5-14.511/08/2013
Neutrophils (auto)54.7%48-7611/08/2013
Lymphs (auto)35.4%18-4111/08/2013
Monos (auto)8.1%4.0-11.011/08/2013
Eos (auto)1.6%0-511/08/2013
Basos (auto)0.2%0-1.511/08/2013
Neutrophil # (auto)4.56K/uL1.9-7.611/08/2013
Lymph# (auto)2.96K/uL0.8-4.111/08/2013
Mono# (auto)0.68K/uL0.2-0.811/08/2013
Eos# (auto)0.13K/uL0-0.3511/08/2013
Baso# (auto)0.02K/uL0.00-0.1511/08/2013
ESR16mm/hr0-1811/08/2013
RF Ab<11IU/mL0.0-1511/08/2013
ANA titer1/640titer0.0-0.011/08/2013
ANA HEP2 (Pattern)DIFFUSEpattern0.0-0.011/08/2013
dsDNA Ab1IU0-2511/08/2013
SS-A(Ro) Ab4EU/mL0.0-20.011/08/2013
SS-B(La) Ab1EU/mL0.0-20.011/08/2013
Sm Ab2EU/mL0.0-20.011/08/2013
SCL-70 Ab0EU/mL0.0-20.011/08/2013
RNP Ab0EU/mL0.0-20.011/08/2013
Centromere AbNEGATIVENEGATIVE11/08/2013
CRP (mg/L)2.4mg/L0.0-3.011/08/2013
Vitamin D Total (25OH)45ng/mL20-8011/08/2013