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What Does My Urine Analysis Indicate?

Posted on Thu, 29 May 2014

Question: I have a microscopic analysis of: WBC urine test of 11-30, mucus, urine = present, bacteria=few
Urinalysis = leukocyte esterase, urine = 3+
CBC = absolute lymphocytes count of 3.3

These were routine workups for Lupus Like Syndrome. I am feeling no particular symptoms other than fatigue. All other tests were normal. Should I be concerned prior to 5/21 appointment with rheumatologist?

Answered by Dr. Divya Agarwal (1 hour later)

Brief Answer:
does not seem related to lupus

Detailed Answer:
Hi

Thanks for your query.

These reports don't suggest anything very specific to lupus.
It could be a mild urine infection , so if nothing else it should be followed up with a urine culture exam.
If there is a diagnosis of lupus with a positive ANA then these findings may hold some significance else not.
So nothing to worry.

Let me know if you have any doubts.

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

Follow up: Dr. Divya Agarwal (1 hour later)

I have had positive ANA for Lupus and have been on Plaquenil for 10 years. Most flare ups have remained mild, but the need for prednisone limited to 2 or 3 courses during the year.

Thank you.

Answered by Dr. Divya Agarwal (16 minutes later)

Brief Answer:
Does not look like a renal flare

Detailed Answer:
Hi

You still need to get a culture exam.
Other features of lupus like complement levels need to be looked at.
Generally renal flares come with high protein and RBCs or casts in urine.

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