Should I be concerned? in Sclero Forums (MAIN) Posted March 10 · Report reply Hi 1982, Welcome to Sclero Forums. I'm sorry you're dealing with symptoms and having trouble getting them sorted out. I may be wrong, I often am, but it seems to me that a rheumatology consult would be a reasonable request, with positive antibodies and a collection of symptoms over the course of years. I mean, someone should take a look at it, you'd think, to see whether an autoimmune process is going on. Anticentromere antibodies can also occur in lupus, and that could also explain no skin involvement or other overt scleroderma symptoms (like pulmonary fibrosis). Focusing on scleroderma so early in the game could be detrimental and might be what you're up against right now. Or, they might be figuring there's nothing going on that would require special treatment, even if you did have this that or the other underlying condition. For a path forward, it looks to me like your only option is to change primary care providers. If possible, you might want to see if you can establish primary care with a board certified internist who has a solid background. Like, try to find the one in your area with the most experience. The problem is, primary care doctors are accustomed to dealing with the usual issues. And, it's possible you might have an autoimmune issue. Internists are more geared towards dealing with complex and chronic illnesses; and would more likely be a rheumatology referral resource for you. One of my surgeons insists that everyone should go to a new primary care doctor each year, just a matter of course, simply because: fresh set of eyes. Of course, if your doctor is terrific and you know your care is top of the line and you have no unresolved health issues, then stick with what you've got. But how could you possibly be content, having health issues that should by all rights be reviewed thoughtfully in light of positive antibodies. Sure, it might still take ages for accurate diagnosis as some things just develop slowly -- but still, wouldn't you feel better if your case had a bit more thorough review?