Doctor insights on:
Lupus And Low Igg
My IgG is 1350 mg/dl and his is slightly low at 40mg/dl. Dr said it's not cvid. Haven't been on antibiotics in years. Not cvid?
SLE pt. Bouts of pleurisy and pericarditis. Dr says I am now low on IgG and IgA. IgM on lower side of norm. Low C3 for yrs. Norm for lupus?
Lupus: Low C3 is expected in lupus due to disease activity and consuming up complement proteins cascade, which C3 is one of these proteins, the low immunoglobulins can very well be secondary to the immuosuppressants you're on, please keep a close follow up with your doctor and possibly an immnologist input would help, up to your rheumatologist ...Read more
Ana 1:160speckled, ESR 29, IgG 1710, low grade fever, flulike feeling, wrist and back ache (sometimes) blotchy areas on arms/stomach in heat, swollen nodes 1cm in neck, doc says lupus, do I trust her?
Hard to comment: Look at other posibilities also, lupus is a chance, but I feel there many other posibilities for your problems. ...Read more
The result of my SS-A/Ro Antibody, IgG, Serum is 1.6 and it says High. What could this mean? I have many lupus symptoms.
Indeterminate: Anti-SSa/Ro autoantibodies are present in about 0.1-0.5 percent of people. There is an association with lupus but also biliary cirrhosis and Sjögren's syndrome. If you have this and other symptoms if lupus, as u say, it is possible you have lupus. You should consult with the doctor who ordered the blood work to determine for sure the next steps. Good luck! ...Read more
What is IgG CMV blood test and what do results say about my health? Can it be indicative of lupus or another infection, disease, disorder, etc.?
Well: A positive test for CMV (cytomegalovirus) IgG indicates that a person was infected with CMV at some time during their life but the IgG test cannot determine when a person was infected. It is a common virus that is usually harmless. However the immunosuppressed can become quite ill. Most people don't even know they have had it. ...Read more
What is the best way to diagnose autoimmune disorders in immune deficient patient on IgG replacement? Rheumy suspicious of lupus, but not definitive
Related to the low gammaglobulin: Sometimes people with agammaglobulinemia can have musculoskeletal problems the diagnosis of lupus in this situation is unlikely sometimes one can have similar symptoms when infection is present. I would be very cautious in trying to say that lupus is present. ...Read more
I have a question about have both postive ssa (ro) (ena) ab igg, and also a positive sle-70 (ena) ab- dr says lupus but it seems to be it would be sclerederma- doc won't call back im so confused : (?
Autoimmune disease: If you cannot communicate with your doctor it might help to find a second opinion. Make sure it is with a rheumatologist who sees lots of patients with auto-immune conditions. Much of the diagnosis will depend on your clinical presentation along with a full panel of laboratory tests, and your providing only a few of these makes it very difficult to even suggest a diagnosis. Need to be seen. ...Read more
I have a very high ANA titre (1:2560 homogenous), but normal immunoglobulins (IgG, IgA, and IgM) and normal CRP. Could I still have lupus?
33yr female.2 daughters. Then 2 miscarriages. Blood tested for IgG, Lupus &Thyroid profile, all results within normal range. Is it safe to conceive again?
Yes it is safe but a miscarriage may happen.
The more you worry the more likely is a miscarriage.
While waiting for a new baby enjoy your daughters as I am sure you do. ...Read more
I have discoid lupus & panniculitis. May I know what explains my constantly elevated igg level (~2000)? I also have lymphopenia due to steroid intake.
Just a bit high: That's not surprising in systemic autoimmune disease where there's often a polyclonal gammopathy. We don't usually treat discoid lupus with systemic glucocorticoids, and I'm wondering what the panniculitis is really about (Weber-Christian?). You may have some alternative to long-term steroids, which are brutal. Perhaps you can get a second opinion / clarification. ...Read more
Tested for anti cardiolipin IgM is negative (0.7) but IgG is positive (54.8) normal range of lupus anticoagulant, protein S and protein C activity help?
Not sure: I am not sure I understand the question. I suspect you are being evaluated for a blood clotting disorder and you have an elevated anticardiolipin IgG. One test however does not make the diagnosis of anti-phospholipid syndrome. ...Read more
Anti phospholipid IgG was mildly elevated and eSR was 71. Lupus anticoagulant was negative. CRp was high normal. Had bad sinus infections. Worry?
Not related to sinus: Sinus infections are more related to obstruction of drainage (allergic rhinitis, vasomotor rhinitis, polyps etc) and not from an autoimmune process. Immune defect may be considered as well. The antiphospholipid is likely not relevant in the absence of diseases associated with this lab result. Have you seen an ENT or allergy doctor re. The sinus issue? ...Read more
CCP Ab (IgG) + at 24. Sjogren -, lupus -, scleroderma -, RF -. All other blood work CBC etc normal. No joint pain only temple pain. What cauaes + CCP?
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, your CCP is only weekly positive and likely not meaningful. Consult this site for more info:
https://www. Mayomedicallaboratories. Com/test-catalog/Clinical+and+Interpretive/84182 ...Read more
Positif ANA IF, Anti-B2 glicoprotein igM, anti-CMV igG, Lupus Anticoagulants, history of DVT. Dr suspect Antiphospholipid Syndrome (APS). Possible?
POSSIBLE: Your lab outcomes plus the prior DVT, seem consistent, but other labs may further assist such as changes in PTT. Might get additional opinion to confirm your diagnosis, and exclude other problems, but certainly antiphospholipid antibody syndrome seems high on list. ...Read more
Lowish: It's not going to make you sick, though. The strong medications you're taking may account for the value being down a bit. We all have much more igg than we need, and you do yourself a disservice by worrying overmuch about lab values -- "reference ranges" are simply where most people fall, not "ideal ranges for optimal health." this value may well be right for you. Best wishes. ...Read more
Non specific: High igg can be from different causes, most commonly if you are fighting an infection it transiently increases. The other 2 anomalies are only significant if sustained. What are your symptoms? Why did the doctor ask for these tests? ...Read more
-: Igg is a form of antibody the human body uses to fight infections. Low igg might be transient or if the child has had multiple infections in the last might need to be addressed seriously. Also igg subclasses also need to be checked to see which or if all subsets are low. Good luck with your child. ...Read more
See immunologist: If her igg levels are low for age, then she should see an immunologist. (children at different ages have different expected igg levels). Sometimes a low igg level in a 1 year old will self-resolve (hypogammaglobulinemia of infancy), and sometimes it can be an early presenation of other immune issues (like common variable immunodeficiency). ...Read more
See below: 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, a monocyte count of 156 is not a cause for concern. ...Read more
Don't know: Need to know why the tests were ordered in the first place. If you suffer from recurrent or chronic sinus or lung infections, then even a normal total IgG may not be enough since it is whether your body can produce specific defense against bacterial (qualitative) than the total number (quantitative) that matters most. See an allergist. ...Read more
Can you have low immunity with lupus without being on immunosuppresents. This is what I was told todaykind of scared thinking I have lymphoma instead?
26 y/o-- iga- 40ml/dl, igg- 1325ml/dl, igm- 111ml/dl. Iga is the only low ig. Could this be cvid? Wouldn't I have low IgG as well?
Don't worry: Isolated low IgA occurs in about 1/500 people. If it is the only immunoglobulin being low, I won't be concerned over it. ...Read more
Low IgG: Does he have recurrant infections of the respiratory or urinary system? If he does then the low igg may be important. Ask your doctor to rule out a subclass deficiency or common variable immunodeficiency syndrome. ...Read more
Immunodeficiency: Immunoglobulin g, igg, is an antibody, a protein that the immune system makes to help fight infection. Igg floats around in the blood stream and helps fight bacteria and viruses. An igg level of 3 is exceedingly low. In most labs, a normal igg level is around 700. Low igg can predispose you to having recurrent infections. You should see an immunologist about igg replacement. ...Read more
What could it mean to have high absolute cd19+ b cells (627 cells/ul) but have low levels of total IgG and IgG subclasses?
See below: This is one of those problems where a visit to your doctor is necessary to figure out what's going on. Only after a thorough evaluation, including examination and possibly labs and other tests, can your doctor correctly diagnose you and treat you effectively. ...Read more
Neg herpes test 4months post exposure. What is the chance it would be neg due to IgG levels being low if I was having a recurrence?
Hi, my son is 9 and takes Hizentra infusions weekly for hypogammaglobemnia. IgG is now normal but Subclass 3 is still low and subclass 2 is now high?
Focus on IgG: The goal of replacement IgG is to provide total IgG levels approximately in the normal range, and sustain them throughout the interval between injections. I would not focus on the subclasses, but on total level of IgG, as well as the response to therapy, i.e., is he having less frequent and severe infections? ...Read more
Why do you ask?: If you've been found to have a paraprotein, the real question is, "Do we treat for plasma cell myeloma? " These paraproteins are very common, especially as folks get older; most never progress. The actual level of the paraprotein isn't the key. If this is grams per liter, a value below 10 is "low". If your labs are otherwise good and you feel well, I wouldn't give it another thought. Best wishes. ...Read more
Need further check.: Most individuals lacking one or more igg subclasses are asymptomatic.Patients with symptomatic igg subclass deficiency most commonly present with recurrent sinopulmonary infections. The infections vary in frequency and severity, and include otitis, sinusitis, and pneumonia that are usually due to common respiratory bacterial pathogens. More serious infections that can occur ...Read more
Waste of money: Safe or not there is nothing in this product you need to be taking. If you are eating a diet rich in fresh fruits and vegetable and lean meats you are getting all the antioxidants you need. As well this product contains a high amount of potassium, which could be dangerous for someone with kidney disease. ...Read more
Maybe nothing: These levels fluctuate wildly even from hour to hour, often with no obvious cause. They are never more than a small part of any medical puzzle ...Read more
So all of this depends on a few things:
in regards to the s. Pneumo. Serotypes, have you been vaccinated with a pneumococcal vaccine recently? If not, that may be your next step and then repeating the bloodwork in 4-6 weeks to assess the response.
The most important thing is the total igg level (igg1 + 2 + 3 + 4). If that is within normal limits, then it is reassuring. Consult an allergist. ...Read more