Positive ANA

37 yo female.

only Raynaud's in hands and feet.

otherwise healthy.

I sent her to Rheum.

Should anything be done ?

Cancel the referral??

The rheum ordered the tests.

Do you find the negative (anti-ENA and anti-ds DNA) results reassuring ?

I am presuming that this is not new onset Raynauds which has more sinister consequences.

The ANA level is unclear from reading the result above....

But a healthy person with Raynaud's and a positive ANA and no other symptoms or signs doesn't really need anything else done.

Sure, dsDNA, complement, ENAs -ve are all reassuring.

Longstanding.

Normal titres are less than 1:40 dilution. Her's is over 1:640.

That's her.