I am afraid that the answer is not as simple as one would like Every Rheumatologist needs to know what specific ANA test is performed at any laboratory that their patients use. And additionally, one needs to know the specifics of the anti-DNA assay as well. ANA is a screening test and it is very sensitive but not specific; That is why there are specific auto antibodies, termed, anti-DNA, anti-SSA and SSB, and anti-RNP/SM. In addition to the ANA test, it is important that the rheumatologist knows all of the signs and symptoms that the patient has been experiencing, as well as Details of the physical examination The presence of a strongly detected anti-DNA is very supportive of a possible diagnosis of systemic lupus erythematosus Elevation of serum creatinine coupled with an abnormal urinalysis and determination of protein spilling into urine can relate to the ANA and DNA results. Certain medications can cause drug induced, lupus and detection of positive ANA can be seen in such circumstances. Additionally, Hashimoto's thyroiditis is an inflammatory autoimmune condition of the thyroid that can be associated with positive ANA I would recommend that you follow up with your physician and determine whether Rheumatology consultation should be performed Get Outlook for iOS<https://aka.ms/o0ukef>