Lupus vs Antiphospholipid

I saw a neurologist for dizziness, fatigue, paresthesia in extremities. I was ordered an MRI which showed small white spots in frontal cortex only without contrast. Blood tests showed ANA 1:640 and Anticariolipin IgM (+) 27. I have had joint pain in wrist, hands, and back as well as chest pain on inspiration for years. RA (-) as well as XRay's of joints/chest. No rash or fevers, the fatigue is unbearable.I just saw rheumatologist who dx me with antiphospholipid antibody syndrome. This doesn't seem to correlate with all my problems, I've never had a clot and no clotting problems found in my blood work. All he did was prescribe a baby ASA. Is that the usual coarse of treatment? Do I need a second opinion? Does either lupus or antiphospholipid show white spots on MRI's?

[Jomichelle7]

I dont know much on this subject but my friend has recently been diagnosed with lupus and has had an mri scan. They found white spots.

Thats all i know

[DrNoopurMD]

Hi,

Hope you are feeling better.
Lupus can show as white spots in the brain. These white spots are due to subtle ischemia or due to cerebritis.
Antiphospholipid syndrome will also show white areas in the brain due to thrombosis of cerebral blood vessels.
Hope this helps!

[airyona]

Will Lupus or Antiphospholipid syndrome show a demilenating white spot?