A member asked:

Can d-dimer elevated 2x uln be only due to low positive rheumatoid factor of 13 ng (vs lab normal range >11) or failed attempts of intravenous cannula placement used for sample ? i am 50, with cfs.

3 doctors weighed in across 2 answers

Lab data: These data are meaningless without a full clinical history. The d-dimer is a breakdown product of fibrinogen due to fibrinolysis which can occur with any minor inflammation of the walls of blood vessels. Often used in helping to diagnose DVT and pulmonary embolus, but is rather non-specific absent specific clinical situation.

Answered 6/10/2014

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See below: A rheumatoid factor is not typically associated with an elevated d dimer. The question is why you are having repeat IV placement---sometimes clots can occur with IV placement.

Answered 6/10/2014

5.1k views

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