Hi there... I'll try to make a long story short. I'm 39 and have been ana for about 2 years - first at 1:80, then 1:160 several months later, and now 1:320. My other symptoms are: arthralgia, malar rash on my face, raynaud's, photosensitivity, and recurrent occult pregnancy loss (just diagnosed).

My reproductive endocrinologist just ordered some tests because he thought I might have autoimmune or alloimmune issues relating to maintaining pregnancy. Here are my most recent results:
ana 1:320
anti-dna (ds) 34
rnp 16
sm 30
sjogren's ssa 21
sjogren's ssb 5

my lupus anticoagulant results were (reference range):
pt 14.9 (11.9 - 14.5)
ptt-la 57.7 (0-52)
aptt 39.9 (23.4 - 36.4)
aptt 4:1np 38 (23.4 - 36.4)
thrombin time 18.5 (<1

i also tested positive for anti-phosphocholine igm and borderline for anti-phosphoserine igm on my anti-phospholipid panel.

My main question is this: what is considered a high-titer ana? I keep hearing different things. For instance, the rheumy I saw said he doesn't become concerned until the test reaches 1:1280 (but then this was the guy whose first question to me was, "so, is everything okay at home?")

input, ideas, similar experiences? I do know that I will not go back to him -- i'm thinking of finding a female rheumy.

Thanks!