text_1: 69-year-old man with gout, now has 3 days of swelling in wrist, I ordered an ANA (antinuclear antibody) since gout not typical in wrist.  ANA (antinuclear antibody) is positive 1:40 mixed pattern.  What does this mean and what should I do about it?
text_2: Antinuclear antibody (ANA) 1:40 mixed pattern. What does this mean and what should I do about it?