Doctor insights on:
Fibrinogen Storage Disease
Yes: PRV is hypercoaguable conditionGet a more detailed answer ›
Shouldn't: I have never heard of iron supplementation affecting the course of coronary artery disease. Too much iron can effect the myocardium, however, even in that case, it usually is not the oral supplementation but a different process that leads to the damage (cardiomyopathy). ...Read moreSee 1 more doctor answer
What causes elevated calcitriol (108.5 pg/mL) with elevated serum Ca, normal PTH. No granuloma disease.
Measure 25(OH)D: Calcitriol, 25(OH)2D, is usually elevated in granulomatous diseases such as sarcoidosis, in lymphomas or in primary hyperparathyroidism, as you suggest. Calcitriol is quite influenced by intestinal absorption of calcium; 25(OH)D is the vitamin D metabolite usually measured (not DI-hydroxy/2D). Add a 25(OH)D measurement & work with your doctor to pursue the other causes of hypercalcemia. Good luck! ...Read more
Why do wilson disease patient have a low ceruloplasmin level? Is it due to wilson disease itself or low production by liver?
Hemiglobinopathies: There are hundreds of these, from trivial to diseases that are so severe they kill before birth. ...Read more
Confused by lab results.Dr thinking rheumatoid arthritis. Low hem, hemotricot, mcv,mch,mchc,creatine.High platelet,rdw,esr,c reactive protein. ?
You have anemia of: the chronic diseases which includes RA. Get a CCP antibody test to put aside the confusion for good. If CCP antibody is positive then your doctor probably made the right diagnosis which is RA. If you have still doubts or has queries and want to send me an e-mail click here --> https://www.healthtap.com/experts/12714048-dr-vahe-yetimyan ...Read moreSee 1 more doctor answer
Which one is a more trusted marker for copper deficiency anemia - 1. Serum Copper levels or 2. Serum Ceruloplasmin level?
Serum copper, but...: "Copper deficiency anemia" is extremely rare. If you're actually being screened for Wilson's, which is quite common, it's a different story -- urine copper is preferable to either. If you're not overdoing oral zinc & haven't had bypass surgery, this is an extreme long shot needing a very low serum copper and confirmation with a bone marrow study. ...Read more
PAS w diastase: no hyaline globules
No stainable iron
Does this rule out fatty liver or liver disease?
Not all diseases: It rules deposition of iron and carbohydrates. The description does not mention fat. At times biopsy may not contain lesions present elsewhere in the organ. It would be prudent to discuss it with your doctor and better yet with your doctor and the pathologist who reviewed the biopsy. ...Read more
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