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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Blood Test Done. Have Butterfly Rashes On Face, Arms, Neck, Chest And Back. Lupus Disease?

my lab test shows an abnormal results to my blood, i am suspected lupus patient hope i am not, for i dont have enough financial resources to treat this kind of chronic deasease.. HBSAG AND ANTI HCV ARE BOTH NOT REACTIVE.. ESR IS 26 NORMAL RANGE FOR FEMALE IS 0-15, WBC=2.69 (5-11), PLATELET 190 (150-400) NEUTROPHIL= 0.38 (0.55-0.77) LYMPHOCYTE 0.52(0.27-0.33) BASOPHIL 0.00 (0.01-0.05) URINE TEST PH=7.0 SPECIFIC GRAVITY 1.015, LEUKOCYTE TRACE, NITRITES + ,RBC 0-2/HPF, PUS CELL 2-4/HPF, SQUAMOUS MANY, BACTERIA MODERATE, MUCUS THREAD FEW.. STILL WAITING FOR ANA, ANTI NATIVE DNA,ANTI SM RESULTS.. HOPING YOU CAN EXPLAIN THE GIVEN RESULTS... right now i have butterfly rash on my face and rashes everywhere especially on my arms neck chest back.. its too hot most of the time especially on summer...
Sat, 23 Jun 2012
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Pulmonologist,  's  Response
hello
thanks for ur enquery on HCM
ur wbc count is less as well as absolute neutrophil count and slight increase of lymphocyte count
there is little abnormality in urine report
nitrite test is positive with moderate bacteria suggesting urinary infection...but not to worry about
what i am looking for in urine is albumin level...but u didnt mention it...it will be more contributory to ur lupus diagnosis
btw u need to take plenty of water
u need to send ur urine sample for c/s
after that u emperically start an antibiotic levofloxacin 750 od
then change as per report
ur blood report is suggestive of chronic infection
but from this parameter only none can diagnose lupus
wait for the above mentioned report to come...because these are needed to diagnose lupus
u need to keep in mind following symptoms...oral ulcer, alopecia, joint pain, weakness, fatiguability etc
dont worry consult a rheumatologist with report
thank u
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Blood Test Done. Have Butterfly Rashes On Face, Arms, Neck, Chest And Back. Lupus Disease?

hello thanks for ur enquery on HCM ur wbc count is less as well as absolute neutrophil count and slight increase of lymphocyte count there is little abnormality in urine report nitrite test is positive with moderate bacteria suggesting urinary infection...but not to worry about what i am looking for in urine is albumin level...but u didnt mention it...it will be more contributory to ur lupus diagnosis btw u need to take plenty of water u need to send ur urine sample for c/s after that u emperically start an antibiotic levofloxacin 750 od then change as per report ur blood report is suggestive of chronic infection but from this parameter only none can diagnose lupus wait for the above mentioned report to come...because these are needed to diagnose lupus u need to keep in mind following symptoms...oral ulcer, alopecia, joint pain, weakness, fatiguability etc dont worry consult a rheumatologist with report thank u