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Dr. Cush. I'm a PCP, not a Rheumatologist. I know you state not to repeat the ANA, but what about following a patient with significantly elevated ANA (say 1:320), and not quite meeting criteria for lupus. Should these patients at least be followed q12 months by a rheumatologist for subsequent progression to lupus or other CTD, which may be around 18% of cases (https://rheumnow.com/content/predicting-autoimmune-progression-ana-pati…)