instruction: hello doctor I am a 50 year old male I was having photosensitivity not too bad went to a dermatologist had a blood test and tested positive for ana 160 I was getting eczema on my hands and feet with the sun at the beach tiny little itchy blisters but my forearms and calves start to itch with a very slight rash I was told I essentially had very dry skin he was not even going to order a blood test but did it just to make sure of blood count I showed him a picture of a slight rash the ana then tested positive I have to go see a rheumatologist now I do not have any other symptoms of joint pain etc I am pretty healthy I work out five times a week I take atorvastatin for cholesterol baby asprin ezetimibe and vitamin I also have a vitamin deficiency I also had a physical four months ago and everything else was fine with the blood work everyone told me not to worry that there are a lot of false positives I can have an early stage of something and it needs to be monitored but what am I most likely realistically looking at how quickly does this get assigned
output: hello according to history it looks more like the skin is the only one troubling you I would like to ask you a few more queries did your rash resolve after the sun exposure was removed do you experience it on a daily basis when exposed to the sun or was it just due to prolonged exposure how about your other blood test like complete blood count ear erythrocyte sedimentation rate and liver function test yes it is true that ana antinuclear antibody can be a false positive in a lot of people but we need to be sure that it is not the start of a disease so only ana does not give us answers we need to see if it is causing inflammation in the blood which will be clear from other tests as per history it sounds more like a polymorphous light eruption which usually should improve itself but yes if your skin is sensitive you should avoid getting prolonged exposures like tat as they can be harmful to the skin