What Does My Blood Test Report Indicate?

Posted on Mon, 20 Nov 2017

Question: I attached a couple pics of a recent blood test I had. My platelets are usually in the 140,000 range so im not too worried about that but my ana screening showed up as positve at 1:40 titer ans my gp set me uo with a ruematoligst to test for autoimmune diseases...now im really worried. I read somewhere that 1 in 4 people will show uo as positive ana under 1:40 titer and that homegenious is the least concerning pattern?! What are the chances that i have some type of disease? The reason i had the testing done was because i had sever anxiety and a bunch of symptoms but im 99.9 % sure my symptoms are from anxiety and not anything else

Answered by Dr. Naval Mendiratta (4 hours later)

Brief Answer:
Ana positivity

Detailed Answer:
good evening

Thank you for writing on health care magic

a well the three of ANA 1:40 is a bit mom specific as it is a very low titre..Moreover ANA can be false positive in 10 percent people..So we need to know what symptoms are you experiencing. if your symptoms match ANA positivity them only the lab holds any value

I would ask you a few queries:

1. any history of oral ulcers or dry eyes or dry mouth..

2. any history of joint pains or muscle pains or any joint swelling you noticed?

3. any history of rashes over the body?

4. has your hair fall increased recently?..

Do let me know these queries...If you could attach the other blood reports also like esr cbc urine routine it would be helpful

Await your reply

Regards
Dr naval

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Naval Mendiratta (6 hours later)

I attached my all of my blood results including cbc count. I dont think ive ever had esr tested and the urine test i attaches is the only one XXXXXXX had.

So 1 in 10 people test positive under 1:40 titer? I thoufht it was more like 1 in 4?

And my symptoms are classic anxiety symptoms like pounding heart, shortness of breath, tinnitus, and many others.

But my last question is does everyone who test positive for ana usually go for further testing regardless if they have symptoms or not? Because if it wasnt for my anxiety symptoms i would have never even gotten tested in the first place because i felt fine

1. No oral ulcers or dry eyes or mouth
2. I have a bad back but i had back surgery a few years ago and my back cracks alot but thats from an injury.
3. Went to the dermatologist like 8 years ago for sun spots but thats it.
4 i have a full XXXXXXX of hair.

Answered by Dr. Naval Mendiratta (4 days later)

Brief Answer:
Delayed Reply

Detailed Answer:
Good evening

Firstly I apologize for the late response. Was quite busy in organizing a conference and with Festivities happening in XXXXXXX totally kept me occupied...

I have gone through your results. Only abnormality I found was low Platelet count. Not sure if u did it after some viral infection. Since it is only the first reading, we should repeat it again after a months time to see if they are still low...

As per your query, your none of the symptoms match any connective tissue disease related to ANA. So if a patient doesnt have symptoms, but ANA is positive we check for the titre of ANA positivity. If it is more than 1: 160 we do further testing to be sure there are no other antibodies positive.

But with 1:40, with no symptoms we normally dont do any further testing. We just like to wait and watch for any evolution of symptoms...But yes the platelet count is something I would keep a watch on

I hope it suffices your query

Sorry for delayed reply again

Regards
Dr Naval

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Above answer was peer-reviewed by : Dr. Vaishalee Punj