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What Does This Blood Report Indicate?
Question: 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 Positive
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.
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 Positive
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.
Brief Answer:
you can have a multi system disease
Detailed Answer:
Hi,
as i understand from your description you definitely had a pneumonia in January this year.
but it is not clear why you underwent a lung biopsy. it would generally be done if pneumonia is not getting better. in any case what was the result of the lung biopsy - this is very important to note.
Pericarditis again is a serious illness- did it get resolved- what is the status now.
then you mentioned diabetes. how is the suger control now see your fasting and Post prandial blood sugars. if they are greater than 200 that could be the cause of your weekness.
The blood reports of ANA +ve and Anti Sm +ve points to connective tissue disorders.- either SLE ( Systemic lupus) or Mixed connective tissue disorder-
These are generally treated with steroids and endoxan depending on the different body organ involvements. they have a long treatment course upto two years and can cause weakness.
it would be interesting to note the values of DsDNA, C3, ACE Levels, Urine routine, spot urine protein creatinine ratio, TSH and serum creatinine values.
This will help in diagnosing organ involvement especially kidneys and cause for your weekness.
best wishes
you can have a multi system disease
Detailed Answer:
Hi,
as i understand from your description you definitely had a pneumonia in January this year.
but it is not clear why you underwent a lung biopsy. it would generally be done if pneumonia is not getting better. in any case what was the result of the lung biopsy - this is very important to note.
Pericarditis again is a serious illness- did it get resolved- what is the status now.
then you mentioned diabetes. how is the suger control now see your fasting and Post prandial blood sugars. if they are greater than 200 that could be the cause of your weekness.
The blood reports of ANA +ve and Anti Sm +ve points to connective tissue disorders.- either SLE ( Systemic lupus) or Mixed connective tissue disorder-
These are generally treated with steroids and endoxan depending on the different body organ involvements. they have a long treatment course upto two years and can cause weakness.
it would be interesting to note the values of DsDNA, C3, ACE Levels, Urine routine, spot urine protein creatinine ratio, TSH and serum creatinine values.
This will help in diagnosing organ involvement especially kidneys and cause for your weekness.
best wishes
Note: For further queries related to kidney problems and comprehensive renal care, talk to a Nephrologist. Click here to Book a Consultation.
Above answer was peer-reviewed by :
Dr. Nagamani Ng
Answered by
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