Hi, sorry about your daughter. We are not doctors on these forums. But, I am a microbiologist and will try to give you some advice. So the ANA titer isn't really positive. 1:40 is just the baseline dilution so that can be a false positive or low level titer. This is usually too low to call positive. Does she do any sports? Has she gone hiking in areas where there might be ticks or mosquitos? Have you had her iron level tested. What are her actual levels for her monocytes, lymphocytes, Total WBC, hemoglobin, RDW, and Neutrophil count and the labs normal ranges. You can either type them in here or post them on your site and remove her name and any personal information please. Has she had any sore throat or swollen lymph nodes in the neck and or sore upper left abdomen? Any fever?
thanks,
mkh9