Posted 3/1/2018 12:05 PM (GMT -5)
Hi,
I have been feeling extremely fatigued,
joint and muscle pain, memory fog for
a very long time. I suspect I might
have Lyme Disease. I am very prone
to catching viral or bacterial infections
when I got near people who are sick
or go to visit someone in a hospital.
A doctor I went to sent me Quest Diagnostic
to one of their labs in Suffern, New York
for testing.
The Lyme Disease Test Only 41 KD (IGG) BAND tested Positive.
I would like to add in the early 1990s when my
younger brother had a severe case of Lyme Disease.
He was one of the first cases diagnosed in our
area back when Lyme was first discovered.
I have suffered from fatigue and other issues
since around the same time. But, I am thinking
now I fell through the cracks. Perhaps, because
my case was not as severe as my brother did
at the time. He was so bad one of his knees was
locked in place.
Also, I have suffered from environmental allergies
to Pollen, Dust, Trees, Grass, Mold, etc.. , Food
Allergies and Chronic Sinusitis and Sinus Infections.
Perhaps this is threw off doctors not thinking I
might have Lyme Disease.
THYROID AB (ATA,TPO)
THYROID PEROXIDASE AB Reference Range: <9 IU/mL
THYROGLOBULIN ANTIBODIES Reference Range: < OR = 1 IU/mL
IGE,SERUM
IGE,SERUM Reference Range: <or=114 kU/L
LYME DISEASE AB(IGG,M),IB
LYME DISEASE AB(IGG),BLOT Reference Range: Negative See Note 1
18 KD (IGG) BAND
23 KD (IGG) BAND
28 KD (IGG) BAND
30 KD (IGG) BAND
39 KD (IGG) BAND
41 KD (IGG) BAND
45 KD (IGG) BAND
58 KD (IGG) BAND
66 KD (IGG) BAND
93 KD (IGG) BAND See Note 1
LYME DISEASE AB(IGM),BLOT Reference Range: Negative See Note 1
23 KD (IGM) BAND
39 KD (IGM) BAND
Negative
Negative
1.035
Negative
5.5
Negative
Negative
Negative
None Seen
0-5
None Seen
None Seen
None Seen
21 H
<1
460 H
Reactive
Negative
41 KD (IGM) BAND Non Reactive
GLUCOSE
95
65-139 mg/dL
The glucose reference range is based on a non-fasting state.
SODIUM
141
135-146 mmol/L
POTASSIUM
4.1
3.5-5.3 mmol/L
CHLORIDE
107
98-110 mmol/L
CARBON DIOXIDE
26
20-31 mmol/L
UREA NITROGEN
19
7-25 mg/dL
CREATININE
1.24
0.60-1.35 mg/dL
BUN/CREATININE RATIO
NOTE
6-22 (calc)
Bun/Creatinine ratio is not reported when the Bun and
Creatinine values are within normal limits.
URIC ACID
7.6
4.0-8.0 mg/dL
Therapeutic target for gout patients: <6.0 mg/dL
PHOSPHATE (AS PHOSPHORUS)
3.4
2.5-4.5 mg/dL
CALCIUM
10.2
8.6-10.3 mg/dL
CHOLESTEROL,TOTAL
221 H
<200 mg/dL
TRIGLYCERIDES
154 H
<150 mg/dL
PROTEIN, TOTAL
7.5
6.1-8.1 g/dL
ALBUMIN
4.5
3.6-5.1 g/dL
GLOBULIN
3.0
1.9-3.7 g/dL (calc)
ALBUMIN/GLOBULIN RATIO
1.5
1.0-2.5 (calc)
BILIRUBIN,TOTAL
0.8
0.2-1.2 mg/dL
BILIRUBIN,DIRECT
0.2
< = 0.2 mg/dL
ALKALINE PHOSPHATASE
73
40-115 U/L
GGT
24
3-95 U/L
AST
13
10-40 U/L
ALT
14
9-46 U/L
LD
132
100-220 U/L
IRON,TOTAL
80
50-180 mcg/dL
EGFR NON AFR AMERICAN
71
>=60 mL/min/1.73m2
EGFR AFRICAN AMERICAN
82
>=60 mL/min/1.73m2
Out of Range URINALYSIS,COMPLETE
CURRENT RANGEOVER TIME
COLOR
Yellow
Yellow
APPEARANCE
Cloudy
Clear
GLUCOSE,QL
Negative
Negative
BILIRUBIN,URINE
Negative
Negative
KETONES
Negative
Negative
SPECIFIC GRAVITY
1.035
1.001-1.035
BLOOD
Negative
Negative
PH
5.5
5.0-8.0
PROTEIN,TOTAL,QL
Negative
Negative
NITRITE
Negative
Negative
LEUKOCYTE ESTERASE
Negative
Negative
SQUAMOUS EPITHELIAL CELLS
None Seen
<or=5 cells/hpf
WBC
0-5
<or=5 cells/hpf
BACTERIA
None Seen
None Seen /hpf
RBC
None Seen
<or=2 cells/hpf
HYALINE CASTS
None Seen
None Seen /lpf
AMORPHOUS CRYSTALS
None
Amorphous crystals identified
CALCIUM OXALATE CRYSTALS
None-Few /hpf
Calcium Oxalate crystals identified
Out of Range THYROID AB (ATA,TPO)
CURRENT RANGEOVER TIME
THYROID PEROXIDASE AB
21 H
<9 IU/mL
THYROGLOBULIN ANTIBODIES
<1
< OR = 1 IU/mL
Out of Range IGE,SERUM
CURRENT RANGEOVER TIME
IGE,SERUM
460 H
<or=114 kU/L
Out of Range LYME DISEASE AB(IGG,M),IB
CURRENT OVER TIME
LYME DISEASE AB(IGG),BLOT
Negative
Negative See Note 1
18 KD (IGG) BAND
Nonreactive
23 KD (IGG) BAND
Nonreactive
28 KD (IGG) BAND
Nonreactive
30 KD (IGG) BAND
Nonreactive
39 KD (IGG) BAND
Nonreactive
41 KD (IGG) BAND
Reactive
45 KD (IGG) BAND
Nonreactive
58 KD (IGG) BAND
Nonreactive
66 KD (IGG) BAND
Nonreactive
93 KD (IGG) BAND
Nonreactive
See Note 1
LYME DISEASE AB(IGM),BLOT
Negative
Negative See Note 1
23 KD (IGM) BAND
Nonreactive
39 KD (IGM) BAND
Nonreactive
41 KD (IGM) BAND
Nonreactive
As per CDC criteria, a Lyme disease IgG immunoblot must
show reactivity to at least 5 of 10 specific borrelial
proteins to be considered positive; similarly, a positive ... Show More
GLIADIN/RETICULIN/TTG
CURRENT RANGEOVER TIME
TISSUE TRANSGLUTAM AB IGA
1
U/mL
Value Interpretation
<4 No Antibody Detected
> or = 4 Antibody Detected
GLIADIN DEAMIDATED AB,IGA
7
units See Note 2
GLIADIN DEAMIDATED AB,IGG
2
units See Note 2
RETICULIN AB IGA
Negative
Negative
IMMUNOGLOBULINS(G,A,M)SER
CURRENT RANGEOVER TIME
IMMUNOGLOBULIN A
185
81-463 mg/dL
IMMUNOGLOBULIN G
1386
694-1618 mg/dL
IMMUNOGLOBULIN M
82
48-271 mg/dL
THYROID PANEL + TSH
CURRENT RANGEOVER TIME
TSH
0.98
0.40-4.50 mIU/L
T4 (THYROXINE), TOTAL
7.1
4.5-12.0 mcg/dL
T3 UPTAKE
35
22-35 Percent
FREE T4 INDEX (T7)
2.5
1.4-3.8
CBC W/ DIFF & PLT
CURRENT RANGEOVER TIME
WBC
5.8
3.8-10.8 Thous/mcL
RBC
5.05
4.20-5.80 Mill/mcL
HEMOGLOBIN
15.1
13.2-17.1 g/dL
HEMATOCRIT
44.8
38.5-50.0 %
MCV
88.8
80.0-100.0 fL
MCH
29.9
27.0-33.0 pg
MCHC
33.7
32.0-36.0 g/dL
RDW
13.6
11.0-15.0 %
PLATELET COUNT
227
140-400 Thous/mcL
MPV
8.4
7.5-12.5 fL
TOTAL NEUTROPHILS,%
50.7
38-80 %
TOTAL LYMPHOCYTES,%
37.9
15-49 %
MONOCYTES,%
7.6
0-13 %
EOSINOPHILS,%
3.2
0-8 %
BASOPHILS,%
0.6
0-2 %
NEUTROPHILS,ABSOLUTE
2941
1500-7800 Cells/mcL
LYMPHOCYTES,ABSOLUTE
2198
850-3900 Cells/mcL
MONOCYTES,ABSOLUTE
441
200-950 Cells/mcL
EOSINOPHILS,ABSOLUTE
186
15-500 Cells/mcL
BASOPHILS,ABSOLUTE
35
0-200 Cells/mcL
DIFFERENTIAL
An instrument differential was performed.
We have translated your handwritten test order for a CBC as a
CBC with Differential and Platelet Count. If this is not what ... Show More
SED RATE,MOD WESTERGREN
CURRENT RANGEOVER TIME
SED RATE,MOD WESTERGREN
11
< OR = 15 mm/h
RHEUMATOID ARTHRITIS PNL1
CURRENT OVER TIME
RHEUMATOID FACTOR
<14
<14 IU/mL
CCP IGG
<16
<20 Units
Reference Range Units
Negative: <20
Weak Positive: 20-39 ... Show More
INTERPRETATION
These serologic results may be found in 10-20% of patients
with polyarthritis that is clinically and radiologically
indistinguishable from RA.
ANA SCR,IFA,RFL TITR/PATT
CURRENT OVER TIME
ANA SCREEN,IFA
Negative
Negative
ANA IFA is a first line screen for detecting the presence of
up to approximately 150 autoantibodies in various autoimmune
diseases. A negative ANA IFA result suggests ANA-associated ... Show More
C-REACTIVE PROTEIN (CRP)
CURRENT RANGEOVER TIME
C-REACTIVE PROTEIN
3.1
<8.0 mg/L
HEMOGLOBIN A1C
CURRENT RANGEOVER TIME
HEMOGLOBIN A1C
5.5
<5.7 % of total Hgb
For the purpose of screening for the presence of diabetes:
... Show More
ASPERGILLUS AB,SERUM
CURRENT OVER TIME
ASPERGILLUS FLAVUS AB
Negative
Negative
ASPERGILLUS NIGER AB
Negative
Negative
ASPERGILLUS FUMIGATUS AB
Negative
Negative
Interpretive Criteria:
Negative: Antibody not detected
Positive: Antibody detected ... Show More
ASPERGILLUS FUMIGATUS IGG
CURRENT RANGEOVER TIME
ASPERGILLUS FUMIGATUS IGG
5.7
<46.0 mcg/mL
Antibody levels greater than the reference range indicate
that the patient has been immunologically sensitized to the
antigen. The significance of elevated IgG depends on the ... Show More
S.PNEUMO IGG (23),MAID
CURRENT RANGEOVER TIME
SEROTYPE 1 (1)
0.9
SEROTYPE 2 (2)
0.7
SEROTYPE 3 (3)
0.9
SEROTYPE 4 (4)
0.9
SEROTYPE 5 (5)
0.6
SEROTYPE 8 (8)
10.4
SEROTYPE 9 (9N)
1.4
SEROTYPE 12 (12F)
0.8
SEROTYPE 14 (14)
56.6
SEROTYPE 17 (17F)
14.8
SEROTYPE 19 (19F)
2.4
SEROTYPE 20 (20)
4.0
SEROTYPE 22 (22F)
0.4
SEROTYPE 23 (23F)
0.6
SEROTYPE 26 (6B)
0.6
SEROTYPE 34 (10A)
0.5
SEROTYPE 43 (11A)
1.5
SEROTYPE 51 (7F)
0.6
SEROTYPE 54 (15B)
0.5
SEROTYPE 56 (18C)
1.1
SEROTYPE 57 (19A)
4.0
SEROTYPE 68 (9V)
6.1
SEROTYPE 70 (33F)
1.3
Serologic correlates of protection against pneumococcal
disease have not been rigorously established for all
patient populations. Published data and expert consensus ... Show More
ALLERGEN IGE A.FLAVUS
CURRENT RANGEOVER TIME
ASPERGILLUS FLAVUS IGE*
<0.35
<0.35 kU/L
CLASS
0
This conventional EIA uses allergen-coated discs from
several suppliers and an enzyme-labeled anti-IgE. CLASS
INTERPRETATION: <0.35 kU/L=0, Below Detection; 0.35-0.69 ... Show More