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What Do My Lab Test Results Indicate?

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Posted on Thu, 4 Aug 2016
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Hi , I have been unwell since XXXXXXX 4th with all the following problems
I had pneumonia which was treated in hospital, then I had a lung biopsy and had a reaction following it and my whole body came up in a rash, which took 2 weeks to go. I had chest pain and still do and have a tightness in my chest all the time.
While in hospital I contracted ecoli and I also had pericarditis.
Following 6 weeks in hospital I was discharged with no follow up or diagnosis. A couple of weeks later I was admitted to another hospital and they discovered I had type 2 diabetes and a 7cm hernia which was leaking into my chest thus causing all the
chest infections I'm getting.
After meeting a surgeon he decided I wasn't a candidate for surgery and then they thought it was my Vagus nerve. Again discharged with no diagnosis
Another Consultant I was seeing for skin mole removal suggested that I could have Sarcoidosis.
I got a new set of blood tests done and the results are below. Clearly there is something wrong with me and I would love your input.

My ALT level was 60 I.U./L range 0.-50
ferritin 366 ng/ml 16.-215
Liver antibodies
Antinuclear factor Positive
Anti smooth muscle antibodies Positiv
ANF Pattern Speckled
ANF TITRE 1:200 <1:80
SMA TITRE 1/80 <1/40

My cholesterol readings were high too so I am on Crestor also.
I constantly feel unwell and I have night sweats, following eating a meal I start to feel sleepy and have severe fatigue.

I was a very fit person and enjoyed sports but am now unwell most of the time.
I look forward to your reply
doctor
Answered by Dr. Naval Mendiratta (7 hours later)
Brief Answer:
Is it a connective tissue disease

Detailed Answer:
Good evening

Thank you for writing on health care magic

Well as per your symptoms which have been going on for last few months:

1. PLeuritis/Pneumonia the cause of which was unknown

2. PEricarditis

3. history of night sweats

4. ANA positive( Strong titre)

There are a few unexplained things in your case , if you could throw some more light on it would be great

1. Where did the hernia suddenly come from...I am not sure which hernia does cause these sort of infections

2. I would like to know the biopsy report as well

3. Dose of steroids you are taking?

4. Any other symptoms like oral ulcers/hair fall/joint pains/rashes/photosenstivity/

5. Was ENA profile done

For me it goes more in favor of a connective tissue disease problem like Lupus. it is very unlikely you have 3 different problems going on. PEricarditis is something we dont expect with Sarcodiosis

Do let me know these queries. I would guide you further from here

REgards
Dr Naval
Note: For further information on diet changes to reduce allergy symptoms or to boost your immunity, Ask here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Naval Mendiratta

Rheumatologist

Practicing since :2007

Answered : 754 Questions

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What Do My Lab Test Results Indicate?

Brief Answer: Is it a connective tissue disease Detailed Answer: Good evening Thank you for writing on health care magic Well as per your symptoms which have been going on for last few months: 1. PLeuritis/Pneumonia the cause of which was unknown 2. PEricarditis 3. history of night sweats 4. ANA positive( Strong titre) There are a few unexplained things in your case , if you could throw some more light on it would be great 1. Where did the hernia suddenly come from...I am not sure which hernia does cause these sort of infections 2. I would like to know the biopsy report as well 3. Dose of steroids you are taking? 4. Any other symptoms like oral ulcers/hair fall/joint pains/rashes/photosenstivity/ 5. Was ENA profile done For me it goes more in favor of a connective tissue disease problem like Lupus. it is very unlikely you have 3 different problems going on. PEricarditis is something we dont expect with Sarcodiosis Do let me know these queries. I would guide you further from here REgards Dr Naval