Lady Gaga Tests Borderline Positive for Lupus...what does that mean?
American College of Rheumatology criteria for a lupus diagnosis
The American College of Rheumatology (ACR) has developed clinical and laboratory criteria to help physicians diagnose and classify lupus. If you have 4 of the 11 criteria at one time or individually over time, you probably have lupus. Your doctor may also consider the diagnosis of lupus even if you have fewer than four of these signs and symptoms. The criteria identified by the ACR include:
- Face rash, which doctors call a malar rash, that is butterfly shaped and covers the bridge of the nose and spreads across the cheeks
- Scaly rash, called a discoid rash, which appears as raised, scaly patches
- Sun-related rash, which appears after exposure to sunlight
- Mouth sores, which are usually painless
- Joint pain and swelling that occurs in two or more joints
- Swelling of the linings around the lungs or the heart
- Kidney disease
- A neurological disorder, such as seizures or psychosis
- Low blood counts, such as low red blood count, low platelet count (thrombocytopenia), or a low white cell count (leukopenia)
- Positive antinuclear antibody tests, which indicate that you may have an autoimmune disease
- Other positive blood tests that may indicate an autoimmune disease, such as a positive double-stranded anti-DNA test, positive anti-Sm test, positive anti-phospholipid antibody test or false-positive syphilis test
What does borderline positive lupus mean? Probably Lady Gaga was referring to her ANA test. All tests have a normal range of values. If a test value is at the upper limit of the normal range or slightly over, it's often referred to as "borderline." The importance of a borderline ANA test depends on the other criteria that are present. A borderline positive ANA will probably be ignored by the doctor if there are only one or two other criteria suggesting lupus, yet could clinch the diagnosis if there are already three or four positive criteria. Gaga told Larry King that she does not have any symptoms of lupus so the borderline ANA would not be significant at this time. Even if the ANA was a high positive, that does not mean she would automatically have lupus. Some people have a positive ANA who never develop lupus. That is why it is only one of the eleven criteria listed above.
Well, I am glad that she spoke about it and clarified her testing since lupus has been consumed with all things Gaga this past week. I have never seen anything like that before, seriously at least 95% of all lupus news last week was related to Lady Gaga. Hopefully she will still be a voice for lupus in memory of her aunt and continue to take good care of herself if she or her doctors are concerned ithat lupus could be an issue in her future. I am glad that I got to know your music more this past week as I fantasized how you could change the face of lupus as our lupus celebrity. I know in this lupie, you have a new fan.
xoxo
Lupus Celebrity
Categories: Lupus, borderline ANA, borderline lupus, sle, Lady Gaga
Tags: Lupus Lupus diagnosis criteria. American College of Rheumatology Lady Gaga sle borderline ANA borderline lupus ACR
She doesn't. She talks about her Dad in the song Speechless, because he told her he wasn't going to be going through any treatment, and letting life take its toll. She's so adorable!
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