I haven't yet met any Rheumatologist who gave any consideration at all to ANA patterns, and I have seen three excellent ones. They may as well not exist in the doctor's office.
I agree that they are interesting. However, mine is nucleolar, which I believe is supposedly the "Scleroderma" pattern. I have no symptoms of Scleroderma, and all symptoms of Sjogren's with pos SSB and pos lip biopsy.
I think that a lot existing information on line about ANA patterns is outdated, and that additional research will be required to get any useful information out of them. That is just my experience, being sick for 12 years now.
If anyone's Rheumatologist explains how these are useful for any purpose, I would like to hear about it. I don't know why the labs report the patterns is they are not useful for anything - as it appears.