Connective Tissue Disease Cascade
Connective Tissue Disease Cascade
Connective Tissue Disease Cascade
STOP
Cyclic citrullinated Antinuclear antibodies (ANA) <3.0 U
No further testing required
peptide antibodies, IgG
■ SS-B/La ■ Scl 70
■ Sm ■ Jo 1
Positive result supports the Positive result supports
CRITH / DNA Double-Stranded Positive result supports the diagnosis of CREST (calcinosis, the diagnosis of SLE and
(dsDNA) Antibodies by Crithidia diagnosis of systemic lupus Raynaud disease, esophageal may indicate the presence
luciliae IFA, IgG, Serum erythematosus (SLE) motility disorder, sclerodactyly, of central nervous system
and telangiectasia) syndrome involvement
Positive result supports Positive result Positive result Positive result Positive result Positive result
the diagnosis of Sjögren supports diagnosis supports supports diagnosis supports supports
syndrome or other connective of Sjögren syndrome diagnosis of SLE of mixed connective diagnosis of diagnosis of
tissue disease (CTD) or other CTD tissue disease scleroderma polymyositis
NOTE: Positive results are not diagnostic for any CTD and should be interpreted within the clinical context of the patient.
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