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Doctor insights on: Histoplasma Ab Cf And Id Serum

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I'm hebs ag negative with a high anti hbs antibody from vaccination. This week's test was reported as hebs ag detected with anti hbs antibody of 513 miu/ml. Lft normal....Scared....Lab error?

I'm hebs ag negative with a high anti hbs antibody from vaccination.  This week's test was reported as hebs ag detected with anti hbs antibody of 513 miu/ml. Lft normal....Scared....Lab error?

Yes: That sounds like lab error. Your hbsab would provide immunity; i'm assuming yoru hbcab (core) is negative; i wouldn't worry, talk to your doctor about a retest if you are concerned, but even if you were infected, there is no reason for treatment at this time. ...Read more

Serum (Definition)

Serum is the component of blood that does not contain cells or clotting factors. It does contain electrolytes an ...Read more


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R postv brucella abortus,proteus ox19, high haemoglobin, high glucose level & urea anywhere related to hiv or std infection?6 mnth neg by 4th gen pcr

R postv brucella abortus,proteus ox19, high haemoglobin, high glucose level & urea anywhere related to hiv or std infection?6 mnth neg by 4th gen pcr

Not related to HIV: I presume you mean you were vaccinated for brucellosis. Of most concern, is the high sugar and urea--that implies that you have diabetes and your kidneys are being affected. See a doctor very soon!!! ...Read more

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My 13y/o daughter lab results r high ttg IgA 66 endomysial scr IgA positive and endomysial ab titer high at 1:40 what does all this mean?Dr r/o celiac

My 13y/o daughter lab results r high ttg IgA 66 endomysial scr IgA positive and endomysial ab titer high at 1:40 what does all this mean?Dr r/o celiac

Likely: Does she have any symptoms (gastrointestinal, weight loss, anemia etc)? If she does, she should stay off gluten. If no symptoms, then it is more difficult to have definite answer although ideally she should avoid all gluten products. ...Read more

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Antistreptolysin o ab and lft 's high with h/o strep. 1+protein in ua ? Glomerulonephritis, etc. What to do next?

Antistreptolysin o ab and lft 's high with h/o strep. 1+protein in ua ? Glomerulonephritis, etc. What to do next?

Strep side effects: This can simply be a side effect of the strep infection and the severity prior to treatment. With the kidney issues, it might be a good idea to meet with a nephrologist. But i would start with my primary care doctor and ask what they think is the next step. You might also consider an infectious disease doctor. ...Read more

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What can cause low WBC count? WBC 3.6, lymphocyte 810. Also, HSV 1 IGG TYPE SPECIFIC AB >5 COXSACKIE B2 AB 1:16 HEPATITIS A AB, REACTIVE Thanks, Don

What can cause low WBC count? WBC 3.6, lymphocyte 810. Also,
HSV 1 IGG TYPE SPECIFIC AB >5
COXSACKIE B2 AB	1:16
HEPATITIS A AB, REACTIVE
Thanks, Don

Cannot evaluate: Individual lab tests cannot be interpreted without all of the results and an understanding of the patient's medical history. I would recommend asking the doctor who ordered the test or considering a consult on HealthTap Prime, If you have the lab results and can upload them. Good luck. ...Read more

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Sir, my HBV DNA levels is 507 iu/ml .HBE AG -ve, ANTIBOBY HBE AG +ve, ALT 57iu/ml. I can't understand why ALT is Increased? Do i need treatment?

Sir, my HBV DNA levels is 507 iu/ml .HBE AG -ve, ANTIBOBY HBE AG +ve, ALT 57iu/ml. I can't understand why ALT is Increased? Do i need treatment?

Yes: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, you did not state the level of ALT. More important is the presence of viral DNA in blood suggesting active infection, you should seek treatment for that. ...Read more

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Smoke/alco free 15 months. New labs show high ldh + lipase; borderline low amylase + globulin. Already ruled out ibd, celiac, mono, hep, hiv, tb, lupus, ra. July ct=normal liver/kidneys/panc. Cancer?

Smoke/alco free 15 months. New labs show high ldh + lipase; borderline low amylase + globulin. Already ruled out ibd, celiac, mono, hep, hiv, tb, lupus, ra. July ct=normal liver/kidneys/panc. Cancer?

MRCP: Looks like you have pancreatitis, but if you have not had alcohol, need mrcp to see if there any pancreatic duct abnormalities. Need more info, were you drinking before and did you have multiple pancreatits before? Mrcp followed by eus would help. Ercp may be needed once acute episode is resolved, or if you find any stricture in the duct. ...Read more

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I tested and have a cyclic citrullinated peptide (ccp) ab (igg) >250 units and RA latex Turbid 170.7 IU/mL. and ANA direct negative. what r results?

I tested and have a cyclic citrullinated peptide (ccp) ab (igg) >250 units and RA latex Turbid 170.7 IU/mL. and ANA direct negative. what r results?

Rheumatoid arthritis: Your tests are strongly suggesting rheumatoid arthritis. I do not know the range for RA latex for that specific lab, but if you have symptoms consistent with rheumatoid arthritis you most likely have rheumatoid arthritis. Talk to your doctor about the results and the benefits of a rheumatology consult. ...Read more

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On ceruplasmin test hep A AB Total reactive ref range U mean? Also Hep A AB (IGM) nonreactive ref range U mean? What am I testing positive for?

On ceruplasmin test hep A AB Total reactive ref range U mean? Also Hep A AB (IGM) nonreactive ref range U mean? What am I testing positive for?

Lab tests: You do not give a value for the ceruloplasm. If you have antibodies to Hepatitis A virus and the IgG is positive and the IgM negative it suggests that you were immunized for hepatitis A or had infection in the past. Why not discuss these values with the doctor who ordered them? ...Read more

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More info on serum immunofixation..no monoclonal proteins detected.a faint IgG labda cannot be ruled out.suggest repeat 6 mths.igg 841 IgA 251 IgM 44.

More info on serum immunofixation..no monoclonal proteins detected.a faint IgG labda cannot be ruled out.suggest repeat 6 mths.igg 841 IgA 251 IgM 44.

Correct advice: It is prudent to retest in about six months to see which way the low level monoclonal spike is going. It may disappear, stay unchanged or increase in amount. The next step will depend on the direction of the quantity of the protein. Your immunoglobulin levels are normal. There is no need to worry. ...Read more

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EBV ab vca, igg level 157 and ebv nuclear antigen ab, igg is 208. Normal 0-17.9. What does this mean.

EBV ab vca, igg level 157 and ebv nuclear antigen ab, igg is 208. Normal 0-17.9. What does this mean.

Prior infection: Like most adults you had an infection with EBV and were not aware of it. It does not have any pathological significance. For good health - Have a diet rich in fresh vegetables, fruits, whole grains, low fat milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form. Practice safe sex. ...Read more

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Hi, ive got elevated alpha 2 macro glob, apolipo protein, alt and not immune to hep b reactive to a, chronic hcv and weight loss, muscle loss.. Wrong?

Hi, ive got elevated alpha 2 macro glob, apolipo protein, alt and not immune to hep b reactive to a, chronic hcv and weight loss, muscle loss.. Wrong?

Serious problem: From what you've said you seem to have a serious issue with your liver. Your lucky in that you have hep c. Now we have a cure for that. Unfortunately Gilead charges $1000/day x 90 days. You should see a gastroenterologist right away and discuss your condition. ...Read more

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10% lymphocytes positive cd20, cd3 cd79a negative for cd10. Results indicate a mixed b and t cell phenotype and thus consistent with reactive nature?

10% lymphocytes positive  cd20, cd3 cd79a negative for cd10. Results indicate a mixed b and t cell phenotype and thus consistent with reactive nature?

See below: If the pathology report didn't indicate monoclonality or lymphoproliferative disorder, it means that probably it is not lymphoma. ...Read more

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ITP for14yrs.last 3 yrs several spep and they alternate between polyclonal and monoclonal IgM 2.09 to 3.05 and nothing . sflc negative , bjp negative?

ITP for14yrs.last 3 yrs several spep and they alternate between polyclonal and monoclonal IgM 2.09 to 3.05 and nothing . sflc negative , bjp negative?

Mgus: You probably have a very low level monoclonal gammopathy of undetermined significance. These abnormal antibodies are common in people with autoimmune disease and with the other studies being normal it will have no clinical significance most likely. ...Read more

Dr. William Walsh
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