I would NOT order a full autoimmune panel on that patient. These tests are not cheap and are each actually quite complex for the labs to do. I think it would be clinically inefficient and frankly...
I wouldn't immediately suspect SLE due to the negative dsDNA and negative RNP. You can go ahead and run anti-smith antibodies to verify; however, at her age I would also imagine that she has either...
The primary differential from that series is diffuse scleroderma with a possible sjogren overlap. What is the patient's age? You should refer management to a rheumatologist who can manage the patient...
Heard this from a colleague today and wanted to get the opinion of everyone on this forum. Apparently there have been suggestions that NP's should take and pass the ABIM (American Board of Internal...