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Family Medicine (Expert Forum)
Autoimmune Antibodies
Answered by
Kevin Pho, MD - Internal Medicine
Kevin Pho, MD
Boston - MA
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Autoimmune Antibodies
by gienka, May 30, 2006 12:00AM
Question once you develop antibodies are they there for life. I had hashimoto's thyroiditis. Then had Thyroid removed for papillary cancer. Now have hypoparathyroidism with low PTH levels. I had some labs done. I'm guessing no relevant results because of autoimmune antibodies already in my system. Test results are (IRON SATURATION 12 norm[15-20]) (Total T3 250 norm[60-181) (TSH ultra sens 0.04 norm[0.35-5.50) (MCH 26.6 norm[27.3-32.7) (RDW,16.1 norm[11.5-15.1) Calcium 8.1 not unusual for me. Glucose,101[norm 70-100] triglyceride,160 HDL,39 VLDL,32 (CRP,20.2 norm[0-4.9) (RA,9) (CRP HIGH SENS 20.40) (ANA-SERUM POSITIVE) ANA TITER 1:80 norm<1:40 Speckled pattern. (Estrogen's total E1+E2 433) norm [122-437]11-20 days. 49-female. I don't think these are unusual for me. How do you diagnose a second illness in someone who already has autoimmune antibodies. Just curious.
Doctor's Answer
by Kevin Pho, MD, May 30, 2006 12:00AM
, May 30, 2006 12:00AM
One autoimmune antibodies develop, unless they are appropriately treated and cleared, they will perseist.
An ANA titer of 1:80 is relatively low. There is also a proportion of patients without disease who have positive ANA titers.
Looking at the lab results, aside from the TSH results, there are no striking abnormalities. It is unlikely that a baseline positive ANA titer test would affect the results of the other lab values.
These questions can be discussed with your personal physician - or in conjunction with a rheumatologist.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_
An ANA titer of 1:80 is relatively low. There is also a proportion of patients without disease who have positive ANA titers.
Looking at the lab results, aside from the TSH results, there are no striking abnormalities. It is unlikely that a baseline positive ANA titer test would affect the results of the other lab values.
These questions can be discussed with your personal physician - or in conjunction with a rheumatologist.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_
