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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Could A Blood Test Report Be Indicative Of Psoriatic Arthritis?

I have abnormal lab results which i am curious if they are an indication of my psoriatic arthritis or if something more is going on that i should address. I currently take enbrel methotrexate and tramadol. MCV     109.3 MCH     34.5 RDW-SD     59.5 Neutrophil Absolute Prelim     7.62 Neutrophil Absolute     7.62 Monocyte Absolute     0.81 Eosinophil Absolute     0.59 Vitamin B12     183 25-Hydroxyvitamin D (Total)     8.3 RBC     3.76 Sed Rate     6 C-Reactive Protein     Alt     26 AST     13
Tue, 11 Dec 2018
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Pathologist and Microbiologist,  's  Response
Hello,
     
Your blood reports are normal except for elevated MCV. The condition is called macrocytosis(increased size of RBC ) and the most common cause is a deficiency of vitamins B12 or folic acid. Your vitamin B12 is also normal. But the methotrexate you are taking for psoriatic arthritis causes a deficiency of folic acid. You have to take folic acid supplementation to stop the formation of macrocytes. Other than this, your report is absolutely normal.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Siddartha
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Could A Blood Test Report Be Indicative Of Psoriatic Arthritis?

Hello, Your blood reports are normal except for elevated MCV. The condition is called macrocytosis(increased size of RBC ) and the most common cause is a deficiency of vitamins B12 or folic acid. Your vitamin B12 is also normal. But the methotrexate you are taking for psoriatic arthritis causes a deficiency of folic acid. You have to take folic acid supplementation to stop the formation of macrocytes. Other than this, your report is absolutely normal. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Siddartha