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I recently had a physical done for college and when I picked up the paperwork I noticed that the urinalysis said TRACE Protein and TRACE LEU. They didn't say anything to me about it, but since I have been in remission for lupus for the last 4-5 years, I was a little concerned as I've never had protein on a urinalysis to come back TRACE. I've called my rheumi's office and no one will return my call. (typical) Does anyone know if this is something I should be concerned about? My ANA six months ago was negative so I haven't been too concerned with the lupus recurring. Could it be something else?
Thanks,
darajanan
 

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Hello and welcome to the forum

Trace urine is very common in lupus and might not mean anything. You don't say anything about how lupus affected you before but ANA is not necessarily a reliable indicator of what's going on and anyway lupus can re-appear in a different form. All the same 6 months ago is time enough for things to change When was your next check up scheduled?

I wouldn't panic but calmly get it checked out for reassurance as much as anything. It's a pity your doctor doesn't return calls as a matter of routine. I'd try again. Sometimes there's a reasonable explanation or at least an acceptable one, so give him a chance. If this is typical behaviour consider if you have to stay with him, because it doesn't inspire confidence. If you have no options then get very assertive.

Think about any other symptoms that might indicate a flare, such as fatigue or hair loss, things you might not notice too much.

Please let us know how you get on and good luck

Clare
 

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Generally speaking, trace protein and leukocytes in a urinalysis are not too concerning. Even perfectly healthy people will leak some protein sometimes, especially in early morning urine. Since you have a history of lupus though, it would be in your best interest to get back to a doctor and have a repeat urinalysis done somewhere in the next few months just to make sure nothing is brewing up again. Even your student health service should be able to do this quick little test for you if that's your best option this semester.

Good luck and I really hope it's nothing - and congratulations on doing so well for so long! Long may it last!
 

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I dipstick my own urine regularly to check for infection (I have an indwelling catheter for other reasons). I know I can get a bit of protein spill when I have an infection, when I will also show leucocytes as well. A bad infection (that definitely needs treatment) will show nitrites, and heavy leucocytes, but sometimes I think I have low levels of infection that my body deals with on its own (with the help of drinking lots, including cranberry, etc). Anyway, unless you have other symptoms, I wouldn't worry about traces on either leuc or protein.
 
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