Doctor insights on:
Pro Anas Y Mias
40yr old Fem Sed Rate Rising (Cont 2) History: Pos ANA, FM, Lupus Anticoagulant, Hypothyroidism, LE Edema. What does all this mean?
See your MD: The positive ANA and lupus anticoag may be associated with potential for blood clotting issues and clearly represent autoimmune disease potentially, of which the hypothyroidism may be a part. You must be seen by an hematologist or immunologist and be evaluated for systemic autoimmune issues. the elevated sed rate is also associated with inflammatory disease. Feel better! ...Read more
Ana titer 1&2 1:160, pos with homogeneous & speckled, ers 29, RA factor 7, aso <100, seg 65.2. Suffer from fatigue, sometimes have pain. Is this lupus?
Could infectious disease/autoimmune (eg Lyme, EBV + parvo) cause PVC bigeminy in 30 y/o female w/ clear Echo & xray??
Possibly: Lyme can cause a myocarditis which can cause an problem with the electrical system of your heart. 2/3 of patients with lyme can get myocarditis of some type (if memory serves, I didn not look that statistic up). I would look into electrolyte abnormalities. Other idea would be severe anemia from parvo mediated marrow suppression and subsequent anemia. ...Read more
Normal C-RP, Sed Rate, CBC, CMP, Rheumatoid fac., C3/C4 Complement and Cyclic Citrul peptide. ANA was negative. Does this rule out any auto-immune?
Not necessarily: 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, Lab test do not equate to disease or the lack of it. It is good that all the test results are negative. It reduces your risk of an auto-immune disease to very very low, but does not exclude it 100%. ...Read more
Ana 1:80 speckled, RA 12,70 ui/ml (normal <14ui/ml), C-reactive protein 2.mg/l, VDRL negative. I´m female and 35 years old. Could be lupus?
See below: What symptoms were you having that made your doctor order these tests? ...Read more
Ana direct positive ANA , ifa neg , rnp 2.3, CRP 5.4 ss-b2.7.Diag with lupus connective tissue and sjorgen all at once? Why 2 ANA tests different answ
They can change!: Appears you have mctd with sjogren's like features based on the labs and titers. No lupus marker present! ...Read more
Pain in arms/elbows/shoulders/neck & L.leg edema x1yr. Esr=30, RF=5, DS DNA=<1, TITER= 1:40, Pattern = Nucleolar A. Should I be worried-scleroderma?
I29 yr old female/ ehlers danlos 3. thyroid removed due to hoshimotos. Neutrophils 16827 monocytes 1704 eosinophils 0. Concerning?
Ehlers Danlos: At age 129 I would not be concerned. Ask you team if neutrophils of 16,827 is high for someone your age? Most will have one of zero as they are dead. ...Read more
16yo male healthy male with c/o inattention and anger issues, labs-ammonia 94(nlup to 32) alkphos185(33-136)other labs all nml- ?Workup and rx
May be lab : I will at times see elevated ammonia levels if the specimen is not handled properly and i always repeat those. You can fractionate the alkphos for bone vs biliary system to get better idea if issue or not. If all normal and no cardiac issues and meets criteria for adhd can do low dose stimulant to see if anger issues worsen. May need second med for anger if therapy not helpful. ...Read more
ANA 1:640 nucleolar (lab range 1:160 borderline, 1:320 positive). No symptoms, all tests ok (capillaroscopy, blood, chest x-ray, abdominal & lymph node ultrasound) Family history (Mother MCTD, her cousin SLE). Drs say my ANA's familial. I fear cancer?
Observation: The positive ANA suggests that you are at a higher risk in developing an autoimmune disorder but is not diagnostic of any disease by itself. Thus you need to inform your doctor of this finding should you develop joint, thyroid, skin, intestinal , etc symptoms. Your risk for cancer is not higher because of the elevated ANA. ...Read moreSee 2 more doctor answers
Cardio ruled out heart disease, norm stress test&echo.I have minimal to no risks factors &no fam hist.non-smoker.Male Age29.Is MI/HD rare for my age?
Causes of elevated CRP (18.4) and C4 comlement (46)? History: ana, ccp positive. Sjogren's symptoms but ssa/b neg. No arthritis. Fatigued.?
You have inflammatio: Your tests indicate inflammation. Sjogren's not associated with high inflammation. Ccp positivity fairly specific for ra. Chronic fatigue is common in both RA and sjogrens. And sjogren's (2') common in ra! responds well to Nuvigil or provigil! have you seen a rheumatology specialist to sort things out? ...Read more
4/5 results- test neg scl70, double stranded dna, ssa, ssb, smith rmp sederate, esr&crp norm, electrolyte/white/red blood norm.Again + ANA 1:160 centromer. What additional test to exclude scleroderma/crest?
Autoimmune pancreatitis how dx? random lipase spikes & do not drink/do drugs. positive ANA - igG1 is low -facial bx chronic swelling -vit d defcnt
Biopsy Needed: Autoimmune pancreatitis is a rare type of chronic pancreatitis. On CAT scan, it sometimes looks like a pancreatic mass. I saw a patient who was thought to have pancreatic cancer. but her biopsy showed autoimmune pancreatitis. Sometimes autoimmune pancreatitis is part of IGG4-related systemic disease, and can mimic other diseases like sjogrens. Since you also have facial swelling, consider this dx ...Read more
39y, m, needing an internist/pcp in birmingham/hoover, al. I'm a complex pt. history of 5 l4/s1surgeries, ddd, mctd, arf, hpb, nafls, a1ad, cps. Not avg young man. B, ham internist, can you help me plz? Ty
Cannot help: I do not know any internists in birmingham. ...Read more
9 yr old son w recurrent pericarditis+effusion & chronic erythema nodosum, ruled out common diseases. Meaning of CH50 High, CD19 High & CD 16/56 High?
Isolated gross hematuria dysmorphic rbc. Elevated ck. Mild hypertension. Early androgentc alopecia. Had severe flu 1yr ago. In winter raynauds r hand.
The interest: Is in the right handed raynaud's. The body is normally controlled asymmetrically. If oxidative function in brain becomes inefficient, the asymmetry increases. So you might find that the left arm blood pressure is different from the right when taken at the same time by 2 operators. Raynaud is complicated but the asymmetry is unusual. A nutritionist doc might help. ...Read more