Hi doctor gud evening can i ask about both ANA +...

Positive ANA and anti DNA antibodies means the presence of systemic lupus erythematosus disease  SLE

How to treat SLE

it is treated by  hydroxychloroquoine and cortisone such as methylprednisolone and immunomodulators such as cyclophosphamide, methotrexate and azathioprine, and there are new medicines such as belimumab or rituximab.

How is SLE diagnosed

The diagnosis is made by performing a clinical examination at the rheumatologist, an ESR sedimentation velocity analysis is done, and the normal rate for it is less than 20 rises when suffering from lupus, and ANA, ANCA and anti dsDNA analysis must also be done It is positive in the case of SLE, and a complete blood picture analysis must be done to exclude the presence of anemia, which may occur in the case of lupus, and the normal hemoglobin level is more than 13.5, as well as to exclude a decrease in blood platelets. Also, LDH must be done to exclude the presence of breakdown in the blood when anemia occurs. From 140 to 280, kidney function analysis should be done, and the normal ratio of creatinine is from 0.6 to 1.2, and the normal ratio of urea is from 10 to 40. If there is an increase in creatinine or albumin in the urine of more than 1 gram in 24 hours, a sample should be taken from the kidney and examined.

What are the causes of SLE

It is an immune disease that results from the body’s antibodies attacking some cells and Genetics plays a role in the disease

What are the symptoms of SLE

    Blisters on the face
    Skin and mouth ulcers
fever
    arthritis
fatigue
    Skin discolouration upon exposure to light
    Abdominal pain, nausea and indigestion
    pain in chest
    Shortness of breath when affecting the heart or lung
    Redness of the skin when exposed to sunlight
    Swelling of the limbs or a change in the color of urine when the kidneys are injured

advise

follow up with athe rheumatologist to provide the treatment