Tired, aching, ANA-positive: does your patient have lupus or fibromyalgia?
The symptoms of fibromyalgia and lupus can be similar, but the treatments are very different. Although the antinuclear antibody (ANA) test has often been used to make the distinction, this approach has its pitfalls. This paper offers strategies for more accurate diagnosis.
Blumenthal
David E
DE
Department of Rheumatic and Immunologic Diseases, The Cleveland Clinic Foundation, OH 44195, USA.
D000974:Antibodies, Antinuclear / Q000032:analysis*; D003937:Diagnosis, Differential; D003951:Diagnostic Errors; D005356:Fibromyalgia / Q000175:diagnosis* / Q000453:epidemiology; D006801:Humans; D007159:Immunologic Tests / Q000379:methods / Q000592:standards; D008180:Lupus Erythematosus, Systemic / Q000175:diagnosis* / Q000453:epidemiology; D015995:Prevalence; D012307:Risk Factors; D014481:United States
D000974:Antibodies, Antinuclear