<s>[INST] My daughter started last October 2013 with neck pain, back pain and headaches. We went to the doctor and she ruled out Meningitis, but she was unable to determine the cause of her pains. The doctor ordered multiple blood tests and in the results there was Raised antibody titer ANA 1:80. She sent us to see a Rhuemetologist, and because my daughter is 17 we had to go to a Pediatric doctor who dismissed the elevation as being because she was a teenage girl and sent us on our way. Here it is June 2014 and she has gone through multiple tests, did get another ANA result which was the same titer 1:80 but a different shape . My daughter has lost 18 pounds since this all started and can not seem to gain weight and just keeps loosing. She will turn eighteen in 3 weeks and then I can take her to MY doctor, but in the mean time.... What can I do? I KNOW Something is NOT right with my girl. I hope you can give me an idea of what to do or who to call or something. We live in St. Charles Missouri. Thank you for your time. Mrs. Chris Reinhart [/INST] Hello Mrs. Reinhart, I understand you and your daughter are going through a difficult time. This seems like an auto-immune condition. And I recommend you take her to a Rheumatologist when she turns 18. ANA titre is very sensitive. According to the history you have given it seems like Lupus. To confirm lupus, I recommend an Anti-Sm titre. The treatment is usually steroids during these acute attacks and will taper it off slowly. Hope this helps! </s>