Well a titre of 1:320 is considered high as we keep the cut-off as 1:200.
Also since ANA is positive, i have a suspicion about Lupus trend.
However i her joints are perfect, we really can wait and watch.
Would suggest you to just keep her on Vit-B and C supplements and tackle the issue of Aphthous ulcer only and not concentrate on other issues.
As you have mentioned that her Vit levels are fine, then stress ulcer is the only conclusion. Keep her out of stress.
Regarding benign Hematuria, again my suspicion goes towards "Lupus".
Hence please consult a good Rheumatologist, for a better picture.
Please discuss again, once you need the consultant.
I took my daughter to see ENT yesterday.
She has a severe chronic tonsil infection as the tonsils are red, severely swollen, cryptic and ill appearing.
She has been placed on Augmentin and a medrol dose pack and is currently schedule to have a tonsillectomy on August 31, 2010.
Would this explain the blood work and what we have been seeing above or how do you see this fitting into the picture?