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Am I finally being validated?


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Old 07-12-2017, 03:14 PM   #1
GunnersMama01
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Location: Toronto, Ontario
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Am I finally being validated?

Hi all!
For the past 6 years, I have been through the wringer. MRI's, Ultrasounds, EMG and Nerve testing, more bloodwork than I could imagine. Multiple ER visits for chest pains or chronic diarrhea with clear tests. I have been diagnosed with IBS and Idiopathic Peripheral Neuropathy. I have also had migraines since childhood, and what I am waiting for dermatologists confirmation of the Malar rash.
When the testing for MS all came back normal, I started thinking Lupus. My doctor has made me feel like I am a hypochondriac all this time. I had a few low positive ANA tests throughout all of this, but nothing consistant.
This last round of blood work finally included tests for phosphilipid antibodies, which came back high positive (not on any blood thinners) for LA. ANA was negative, WBC was in range but on the very low end along with low differentials. Everything else was pretty normal.
Am I finally getting a diagnoses? I am pretty sure I meet 4 or 5 of the criteria, and quite a few of the St.Thomas Hospital Criteria as well.

Here is my latest blood work up



Results
Reference Units

Hematology
WBC
6.1 4.0 - 11.0 x E9/L
RBC
4.42 4.00 - 5.10 x E12/L
Hemoglobin
135 120 - 160 g/L
Hematocrit
0.40 0.350 - 0.450 L/L
MCV
91 80 - 100 fL
MCH
30.5 27.5 - 33.0 pg
MCHC
336 305 - 360 g/L
Platelets
282 150 - 400 x E9/L
RDW
13.0 11.5 - 14.5

Differential
Neutrophils
3.9 2.0 - 7.5 x E9/L
Lymphocytes
1.6 1.0 - 3.5x E9/L
Monocytes
0.5 0.2 - 1.0 x E9/L
Eosinophils
0.1 0.0 - 0.5 x E9/L
Basophils
0.0 0.0 - 0.2 x E9/L

Erythrocyte Sedimentation Rate
24 2 - 30 mm/hr

General Chemistry
Hemoglobin A1C/Total Hemoglobin
5.7 <6.0%

Creatinine
68 45 - 97 umol/L
Glomerular Filtration Rate (eGFR)
103
Normal eGFR is described as greater than or equal
to 90 ml/min/1.73 m2.

Thyroid Function
Thyroid Stimulating Hormone [TSH]
1.17 0.32-4.00 mIU/L

Serum Proteins
IgA
1.24 0.54-4.17 g/L

C Reactive Protein
4.0 <6.0 mg/L

Immunology
Nuclear Antibody
NEGATIVE
NEGATIVE


Tissue Transglutaminase Ab IgA
<0.5 <12.0 U/mL
NEGATIVE

Referred Tests

Phospholipid Antibody
Cardiolipin Ab IgG
<2 GPL-U/mL
Negative 0 - 19 GPL-U/mL
Positive > 19 PL-U/mL

Cardiolipin Ab IgM
<1
MPL-U/mL
Negative 0 - 19 MPL-U/mL
Positive > 19 MPL-U/mL
Cardiolipin Ab Interpretation
--
Negative Study.

dRVVT Ratio
HI 1.57 < 1.31
RVVT Interpretation
--
Positive Study

LS PTT Interpretation
--
Negative Study

APA Interpretation
--
Anti-phospholipid antibody studies are
positive. The anti-cardiolipin antibody (ACA)
assay is negative while assays for
\"lupus-like\" anticoagulant antibodies (lupus
sensitive PTT, dRVVT) are positive. If
patients are sampled while on heparin, LMWH
or warfarin, \"lupus-like\" anticoagulant
assays can be false positive. All APA studies
should be repeated after a minimum of 12
weeks to confirm antibody persistence. Ref:
Pengo V. et al. Update of the guidelines for
lupus anticoagulant detection. J Thromb
Haemost. 2009;7:1737-40. *Testing on direct
oral anticoagulants (dabigatran, rivaroxaban,
apixaban) may cause false positive LA
assays.* Validated by Dr. Rita Selby

This test was referred to University Health
Network, Laboratory Medicine Program (TGH),
200 St. Elizabeth St. Toronto, ON M5G 2C4
For inquiries please call 416-340-5227

Last edited by GunnersMama01; 07-12-2017 at 04:47 PM. Reason: Adding more information

 
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