A 38-year-old female asked:
ferritin level 301, platelets 74, vit d 13 ng/ml hemoglobin is 14.2 good. b12 is bit on the low side at 354 but ok. gastric bypass in 2003. lupus?
2 doctor answers

Dr. Ed Friedlander answered
44 years experience Pathology
Why do you ask?: With a serum ferritin twice the upper limit of most reference ranges for a young woman, you have hemochromatosis / iron overload until proved otherwise. If it's getting advanced, this could explain your thrombocytopenia, though lupus is also in the "diff". You may have both ;/or something else. Your platelets should perhaps be checked for surface antibodies as part of a full workup.
Answered on Mar 6, 2014
1
1 thank

Dr. Gregg Nishi answered
22 years experience Bariatrics
Lupus: What makes you think it is lupus? Did you have a blood test for anti-nuclear antibodies or any other autoimmune workup? Or do you have any symptoms? If you have concerns, go see a rheumatologist.
Answered on Mar 3, 2016
2
2 thanks
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