instruction: hello doctor I have a positive ana titer 640 ac homogeneous ana titer 640 ac 4 29 speckled rip antibody positive 5 all other antibodies are low serum cortisol high 30 at 15 am symptoms pulse races sometimes can control with breathing exercises especially when nervous vague muscle aches and pains bilateral that come and go it could last a day or two and then leave I also have muscle fatigue the symptoms tend to be very vague and come and go no raynaud no swollen hands or fingers sedimentation rate cop 4 my does this sound like anything to be concerned with I am anxious about the antibody findings I am currently taking nexium clonapin my at night
output: hi welcome to icliniq com I would need to know first of all the symptoms for which ana antinuclear antibody test was done any joint pains facial erythema or any fever revert with the asked details for better help