I am currently diagnosed with UCTD with a high probability of Lupus. No major organ involvement. For months i had a fever of 99-100 F, this eventually led to the diagnostic tests that revealed the high ANA titer, referral to Rheumatologist and diagnosis.
I am currently also dealing with colostridium difficile, or C. diff. It is exhausting to say the least.
Currently I have been off of the prescribed vancomycin for 9 days. I am having a small increase in BM and stomach bloating. I also have a 99.1-99.5F temp off and on throughout the day.
How can a physician determine if it is once again the lupus or autoimmune condition causing the raise in temp, or the c.diff?
Also, I seem to notice an increased temp during ovulation and premenstrually, would lupus have anything to do with this?
I seem to be having a hard time fighting off infection, and I imagine this too has to do with the autoimmune condition. My WBC is low (3.7)
Fever is a part of lupus, in certain patients low grade fever is commonly seen always. but in some cases in which patient's are on large doses of aspirin, nonsteroidal antiinflammatory drugs (NSAIDs), or corticosteroids, may not have fever at all because these drugs may mask a fever.
So doctor basically confirms the history of patients confirms certain test recommended for lupus.
Lupus patient may be more vulnerable to certain infections than are other people without lupus. In addition, you may be more prone to infection if you are taking any immunosuppressive drugs for your lupus. Be alert to a temperature that is new or higher than normal for you, because it could be a sign of a developing infection or a lupus flare.
So doctor basically confirms the history of patients confirms certain test recommended for lupus.
Lupus patient may be more vulnerable to certain infections than are other people without lupus. In addition, you may be more prone to infection if you are taking any immunosuppressive drugs for your lupus. Be alert to a temperature that is new or higher than normal for you, because it could be a sign of a developing infection or a lupus flare.
Your symptoms does not completely suggests of SLE. It will be better if you could do an ANA profile + anti dsDNA and antiRo serum tested.
ANA test is positive for more than 95% of SLE cases. ANA negative lupus is very rare , such patients have positive anti ds.DNA or anti Ro . If all the above are negative lupus can be ruled out. . But in many cases these tests get positive about one to two years after onset of symptoms. Hence testing has to be repeated, to confirmly rule out lupus.
DIAGNOSTIC CRITERIA FOR SLE
1.malar or discoid rash . Reddish raised patches over the cheeks.
2.photosensitivity. Exposure to uv light causes rash
3.oral and nasal ulcers
4.tenderness and swelling of two or more joints.
5.pleuritis of lung
Pericarditis of heart
6.urine protein of more than 0.5 g /dl
7.seizures or psychosis without other causes.
8.anemia.or decreased white blood cells.
9.anti.dsDNA, anti Sm, anti phospholipid
10. Abnormal ANA levels.
thank you
ANA test is positive for more than 95% of SLE cases. ANA negative lupus is very rare , such patients have positive anti ds.DNA or anti Ro . If all the above are negative lupus can be ruled out. . But in many cases these tests get positive about one to two years after onset of symptoms. Hence testing has to be repeated, to confirmly rule out lupus.
DIAGNOSTIC CRITERIA FOR SLE
1.malar or discoid rash . Reddish raised patches over the cheeks.
2.photosensitivity. Exposure to uv light causes rash
3.oral and nasal ulcers
4.tenderness and swelling of two or more joints.
5.pleuritis of lung
Pericarditis of heart
6.urine protein of more than 0.5 g /dl
7.seizures or psychosis without other causes.
8.anemia.or decreased white blood cells.
9.anti.dsDNA, anti Sm, anti phospholipid
10. Abnormal ANA levels.
thank you
First off, Lupus often has a low grade fever in addition to the normal symptoms that you normally experience while in a flare. Usually subsides when you are on the medication prescribed for Lupus. The fever is normally low-grade and does not cause many symptoms associated with the digestive system.
Ovulation in the healthiest of women causes an elevated temperature, this is a normal biological response in the female body.
Infection Fevers would also indicate high levels of leukocytes (WBC) as it is normal for white blood cells to increase when an infection is present, which should not be confused in Lupus patients who have a high inflammatory marker or antibody marker. WBC count usually is normal in a Lupus flare, as it is not an infection.
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Ovulation in the healthiest of women causes an elevated temperature, this is a normal biological response in the female body.
Infection Fevers would also indicate high levels of leukocytes (WBC) as it is normal for white blood cells to increase when an infection is present, which should not be confused in Lupus patients who have a high inflammatory marker or antibody marker. WBC count usually is normal in a Lupus flare, as it is not an infection.
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