ANA Screening Form | Sierra Rheumatology

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Sierra Rheumatology Inc.

2207 Plaza Drive, Suite 100, Rocklin, CA 95765

Telephone: (916) 677-4744 Fax: (916) 781-2029

www.sierrarheumatology.com

ANA (+) Screening for Systemic Lupus Erythematous

Ana Screening

Hair Loss /Non - Scarring Alopecia - diffuse thinning or hair fragility, in the absence of other causes such as alopecia areata, drugs, iron deficiency, and androgenic alopecia

Malar Rash - butterfly rash, specifically covering cheeks and the bridge of your nose

Photosensitive Rash - sun exposed surfaces more prone to tender rashes lasting more than 2-3 days

Nasal/ Genital Ulcers - lasting more than a few days

Painful

Painless

Oral Ulcers

Site: Palate - soft /hard | Tongue | Inner cheek

Painful

Painless

Raynaud's Phenomenon - numbness / cold sensation of either digits & toes, sometimes causing pain and discoloration - white, purple, blue, red. Exacerbated by cold temperatures

Arthritis - swelling and/or tenderness in 2 or more joints and at least 30 minutes of morning stiffness for more than 6 weeks

Pleurisy / Pleural Effusion- fluid in the lungs

Pericardial effusion - fluid in the heart

Thrombocytopenia - low platelet count causing abnormal bleeding

Hemolytic Anemia red blood cells are destroyed faster than they can be made, requiring blood transfusions

Leukopenia - decreased number of white blood cells

Kidney involvement and/or disease

Seizures

Cognitive Changes

Severe Memory Loss

Severe Fatigue - unexplained by any other medical condition

Intermittent Fevers

Unintentional Weight Loss

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ANA (+) Screening for Systemic Lupus Erythematous

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