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Sat, Mar 9 6:10pm · Lung Nodule, D-Dimer elevation and ANA +VE in Autoimmune Diseases

Nicohl,

In 2nd CT (After 6 week) nodule size reduced, then Dr orders 3 rd CT after 3 months, in 3rd CT size increased little , so Radiologist mentioned like “due to persistent nodule it is very difficult to exclude malignancy and immediate biopsy is suggested”.
Doctor sent me for biopsy after two weeks, before they start biopsy ordered latest CT to locate the nodelu position, in CT again size got resuced.So they didn’t continue with biopsy as size reduced.
Ribs pain is always there.no clue at this time.

Oct 14, 2018 · Lung Nodule, D-Dimer elevation and ANA +VE in Autoimmune Diseases

@nikohl7
Previously when I mentioned to my physician about infections, he said he don't expect infections.
What are the lab tests require to test infectious disease?

Oct 13, 2018 · Lung Nodule, D-Dimer elevation and ANA +VE in Autoimmune Diseases

@nikohl7 @johnbishop
Previousely I was diagnosed with Fibro.I have few symptoms but not sure they are due to LUPUS.
Current symptoms are : Ribs pain due to pleurisy, Knees pain, redish in the mouth with mild soreness and lot of back pain (from muscles).

Oct 12, 2018 · Lung Nodule, D-Dimer elevation and ANA +VE in Autoimmune Diseases

@nikohl7 @johnbishop
Today I got call from Rheumatologist office about C3 and C4 results, both are normal.

Oct 12, 2018 · Lung Nodule, D-Dimer elevation and ANA +VE in Autoimmune Diseases

@nikohl7 Thanks Nikohl.
They didn't test ig antibodies. Current symptoms are ribs pain(chest and back), back muscle pain, elbow pain.
redishness in the mouth (one side) and sleep problems.

Oct 11, 2018 · Lung Nodule, D-Dimer elevation and ANA +VE in Autoimmune Diseases

@johnbishop Thanks John for your reply.
Primary care physician took 70 days and mentioned I don't have any serious issues. But I had severe ribs pain while taking breath, yawing, burping.
So I visited Pulmonologist, in 2nd visit he ordered CT which reported nodule in the left lower lobe (2.4X2.2).Radiologist mentioned possibly nodule is post infectious and follow up CT require after 6 weeks.Pulmonologist has mentioned LUPUS is at border line (not sure LUPUS is confirmed or not). I also visited rheumatologist, rheumatologist has mentioned mild LUPUS exist.

I finished LEVOFLAXACIN anti biotech on 09/27 but still ribs pain is severe and not able to sleep.Pain while breathing gone away but ribs pain is still there. Pulmonologist asked me to go for another CT after 6 weeks to make sure nodule is gone.

Also no clue on the blood clot elevation, PE not found in the lungs, probably elsewhere blood clotted.

I am reading lot of posts in google, infection can trigger +ve ANA. In my case ANA was -ve last year November, in less than a year it turned to +ve.

Other lab tests CBP, CMP, Urine analysis, AST, ALT and Creatinine are normal.

Pain started june 4th week, still struggling.

Any advise is greatly appreciated.

Oct 10, 2018 · Lung Nodule, D-Dimer elevation and ANA +VE in Autoimmune Diseases

Lung Nodule, D-Dimer elevation and ANA +VE:

Do I have LUPUS?
In June during my India trip left side Ribs pain started when breathing.I returned to US on July 5th and next day I visited primary care, he ordered CMP and X-RAY both are normal.nothing shown in the X-RAY.After 2 weeks I visited primary care again, then he checked EKG, it was normal.In my 3rd visit Primary care ordered bone scan which gave some clue about pleural effusion.After that i visited Pulomonologist, he checked ANA which came +VE,D-Dimer elevated(high).Then Pulomonologist ordered CT scan in which identified a patchy nodule, by this time pain was severe, lots of burping and incomplete yawning. For small burping and yawing back was hurting a lot.

After nodule identified in the lung, doctor put me on LEVOFLOXACIN for one week then pain got controlled.I finished medication on 09/27, after 10 days ribs pain started again. I am 47 yrs old,hypothyroid patient,previously i was diagnosed with Fibromyalgia (since 2010).These things are scaring me and making me sleepless. Need advise.

Chest X-Ray report (07/12/2018)
"PA and lateral chest images. Heart size and contour are normal. Lungs are clear with normal pulmonary vascularity. No pleural effusion, hilar or
mediastinal prominence is evident"

Bone scan report (09/04/2018)
“Mild asymmetric increased uptake in the left posterior hemithorax. Tracer is distribution is otherwise un remarkable”

CT Scan report (09/18/2018)
"As per regular modules identified within the superior segment left lower lobe measuring together an area of 2.4×2.2 cm.Possibly post infectious. Trace loculated left pleural effusion."

ANA TEST and other Lab tests (09/12/2018)
1.ANA SCR, IFA, W/REFL TITER/PATTERN/SJOGREN'S PANEL 1
–SJOGREN'S ANTIBODY (SS-A) –NAGATIVE
— RHEUMATOID FACTOR –NAGATIVE
–SJOGREN'S ANTIBODY (SS-B) –NAGATIVE
–ANA SCREEN, IFA, W/REFL TITER AND PATTERN — POSITIVE
2.ANA SCR,IFA W/REFL TITER/PATTERN/SYSTEMIC SCLEROSIS PANEL 1
— ANA SCREEN, IFA –POSITIVE
— SCL-70 ANTIBODY–NAGATIVE
–CENTROMERE B ANTIBODY–NAGATIVE
–RNA POLYMERASE III AB–NAGATIVE
3.D-DIMER, QUANTITATIVE — 1.35 (should be less than 0.5)
4.ANA SCR,IFA W/REFL TITER/ PATTERN/LUPUS PNL 1
–ANA SCREEN, IFA– POSITIVE
5.ANTINUCLEAR ANTIBODIES TITER AND PATTERN
–ANA PATTERN –Nucleolar
–ANA TITER=1.40 ( should be