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Auto-immunity or scabies?

For over a year and a half I have had a non-specific red popular rash on my legs,stomach,arms which extremely intense itching. I was treated at first for scabies however the treatment didn't work and the rash/itching persisted. I was prescribed Telfast antihistamine with Cimetidine but no improvement. Blood tests showed positive ANA, Positve Anti-SSA/RO . CRP was 4 and Rh factor was 20. I was reffered to rheumatology clinic and was prescribed Plaquinil and am taking 1 twice daily. Yesterday I saw a dermatologist and was told that I do have scabies and have been prescribed lyclear along with a steroid. I am just wondering is the ANA etc. having any affect on the itching then or is it just the scabies. And shouldn't the first treatment have cleared it? Should I continue with the plaquinil?
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1530171 tn?1448129593
Hi itchyskin1 and welcome to the forum.

Sometimes scabies treatments are not 100% effective and treatment options may need to be re-visited.
It is also not uncommon to be mis-diagnosed.

Your CRP is not high enough to offer any diagnostic value and so is the RH, which becomes more significant >20, but again it is not diagnostic on its own, because a larger % of healthy individuals test positive in the lower RH results and up to 10% of them when RH is above 20.

Your ANA titres are significant to help with diagnosis (not on their own though) at 1:160 and up.  Do you know what yours was?

If this does not get resolved with your current treatment, you may want to also look into NAET (Dr.Nambudripad's Allergy Elimination Techniques).
NAET trained Doctors and Practitioners are now all over the world and this practice is expanding exponentially. Just do a search.

Please note that my comments and suggestions are not intended as a replacement for medical advice.

Best wishes.
Niko
Helpful - 0
Avatar universal
Hi, Thanks so much for your reply ; much appreciated. On the GP letter I have it says ANA ; 1:1280 . (to be quite honest I don't understand the significance of this and when I went to the Rheumatology clinic, nothing much was explained) All I was told was that ANA sometimes gives people an itchy rash .. so Im unsure whether the itching I have is purely due to the scabies or a combination of the two.

I will have a look into NAET now,thanks for the suggestion.


I really appreciate your reply.

Thanking you,
Niamh
Helpful - 0
1530171 tn?1448129593
Hi again. Your ANA seems high, but it should be considered only with
your medical history and complete clinical evaluation.
High positive ANAs indicate potential presence of auto-antibodies in patients suspected of having some type of rheumatic condition, but only as a screening test, not diagnostic on its own as I mentioned earlier.

I'm surprised that you were not told anything, but the Plaquenil may be have been prescribed to you as a  Lupus erythematosus or Sjögren's Syndrome challenge (test) and if you respond well to it, it would be a strong indication that you may have one of these conditions.

I'm only basing this on the limited information from what you posted so far.
Your clinical evaluation may have provided more information to your doctors to proceed this way.
It is unfortunate that they shared no details with you.

Please free to post any other symptoms you may be experiencing at present.

Best wishes.
Niko
Helpful - 0
Avatar universal
Hi again,

Im not sure if its just the irish healthcare system or if my doctor has something against me but no information is shared with me. I was told by my GP when i asked what my blood type is, that he "could not share that information" with me. Strange but Im not one to argue.

Thus far, the itching hasnt improved with the lyclear unfortunately. I have been given an appointment for 2 months time for the connective tissue clinic. So i guess its a waiting game now.

Thank you so much for taking the time to respond to me,

Niamh  
Helpful - 0
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