HELP? LAB ADVICE?
I’m looking for some insight into my lab trends. Back in October/November, I was going through a period of extreme anxiety, horrible chest tightness, and a bad case of bronchitis. My labs came back concerning:
November:
ANA: 1:640 (pattern/ Homogeneous)
Anti-Smith: 1.6 (Positive)
(Everything else was negative)
Symptoms: Bilateral knee pain, but no rashes or organ issues. (Was told this was runners knee)
Fast forward 6 months to May, and my numbers have dropped significantly without any medication:
(Also have been WAY less stressed)
May:
ANA: 1:160 (Centromere)
Anti-Smith: 1.0 (Borderline - cutoff is 0.9)
Inflammation: CRP <1 and Sed Rate is 6 (both perfect).
My rheumatologist in November says there is "nothing to do" because I have no symptoms.
My questions for the group:
What does this mean for me? What are the odds I develop a disease?
Has anyone else seen their Smith antibodies drop almost to negative after a period of intense stress or infection?
Is it common for an ANA titer to drop two full steps (1:640 to 1:160) in just six months?
My patterned changed to Centromere?
Since I’m now only 0.1 away from a negative Smith, what are the odds of this fully "sero-reverting" to negative?
I’m a 24 Female and really hoping this was just a temporary immune "flare" from a really rough October. Would love to hear your experiences!