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Help with blood test for autoimmune disorder

I was given blood work to get done and it came back that my Anti-Nuclear Antibody Positive (Abnormal) which led to a lot of other blood test to be done and they are listed below:
Vit D 25
11 ng/mL
Less than 20 ng/ml  Deficient

i have no idea what this one means:
H Influenza Ab, IgG
0.7
Comment
INTERPRETIVE INFORMATION: H. Influenzae b Ab, IgG Less than 1.0 ug/mL ...... Antibody concentration not protective. 1.0 ug/mL or greater ..... Antibodies to H. Influenzae b detected. Suggestive of protection. Responder status is determined according to the ratio of post-vaccination concentration to pre-vaccination concentration of Haemophilus influenza b antibody, IgG as follows: 1. If the post-vaccination concentration is less than 3.0 ug/mL, the patient is considered to be a non-responder. 2. If the post-vaccination concentration is greater than or equal to 3.0 ug/mL, a patient with a ratio of greater than or equal to 4 is a good responder, a ratio of 2-4 is a weak responder, and a ratio of less than 2 is considered a non-responder.

i have no idea what this means:
SSB (La) (ENA) AB, IgG
0
Date May 07, 2015 09:55 a.m. EDT Reference Range 0-40
Comment
INTERPRETIVE INFORMATION: SSB (La) (ENA) Ab, IgG 29 AU/mL or Less ............. Negative 30 - 40 AU/mL ................ Equivocal 41 AU/mL or Greater .......... Positive SSB (La) antibody is seen in 50-60% of Sjogren syndrome cases and is specific if it is the only ENA antibody present. 15-25% of patients with systemic lupus erythematosus (SLE) and 5-10% of patients with progressive systemic sclerosis (PSS) also have this antibody.
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Avatar universal
Thank you very much for your help. I called and put in a message for my doctor to do a pulmonary and cardiac workup to check for anything that i might not know that i have. I also have to go back to my allergist tomorrow to get two shots. One they said is for my hib they said was low and the other i am not sure what that was for. They also did blood work for diptheria/tetanus and something else. I am not sure without looking at it what it is.
Helpful - 0
1530171 tn?1448129593
You're telling me that you were never checked for heart related issues.
Really?
Of course it would be advisable to rule out any heart involvement!

The TMS suggestion  has to do with more than just  back pain.
It often has to do with inexplicable pain on muscle, nerves and ligaments
just about anywhere in the body
It also may help explain referred pain, where the pain is experienced at a different location other than the site of the painful stimulus.

I'm sorry, I cannot evaluate this further for you. You would need to see a doctor, knowledgeable in this field to rule it out.

Wishing you well,
Niko
Helpful - 0
Avatar universal
I looked into that and I don't think that it what islt is. Do you think in anyway shape or form that this could be heart related. Do I need to talk to my doctor about it to see what he says and ask for a chest xray and other tests to rule out that it is the heart that way my mind is at ease.
Helpful - 0
1530171 tn?1448129593
leagle97, perhaps you may want to look into Tension Myositis Syndrome.

Just do a search and  open the YouTube video on an ABC news piece that was done on TMS a number of years ago. The doctor who coined the term
TMS is Doctor John Sarno.
Some of the details in your post match this syndrome.

Cheers,
Niko
Helpful - 0
Avatar universal
The pain started about March of last year when I was on crutches for 2.5 months due to a herniated disk in the lower back. Ever since then I have had problems and always found myself going to er because the pain was so bad.
Helpful - 0
Avatar universal
Ok so I don't have lupus lIke we thought,  but my concern is when is the chest pain caused by auto immune or heart related.  I get this pain on and off all the time sometimes worse than others.  This time it is more on the left side but does move around. The doctor does not want to do test for the heart.  I am going to see a rheumatoid doctor in a few weeks but do I need to make an appointment with a cardiology doctor as well.
Helpful - 0
1530171 tn?1448129593
Well, I don't have all the details, but the best protection for now is to strengthen your immune system, as much as possible.

There's not much you can do about the Costochondritis.
Sometimes the pain may take up to a year to resolve.

I had used 30% DMSO topical solution for my acute pleurisy (similar pain to Costo) which made it manageable.


Your last test is negative as well.

And you're welcome.

Niko
Helpful - 0
Avatar universal
The did not give me any other vitamins. What are the going to do because of the test that said that i dont have enough protection. I constantly get chest pain and the consto has been going on since last march and was told that it will go away but it does not and comes back quiet often.

IgE
64
Date May 07, 2015 04:00 p.m. EDT Reference Range<= 214
this blood test came back this morning and was wondering what this meant as well.

THanks
Helpful - 0
1530171 tn?1448129593
The first part was already included in your original post.
They other 2 don't really reveal anything as they're within range.

Costochondritis often resolves on its own. It's cause in most cases cannot be attributed to anything.
Usually physical therapy and rest help.

Your Vitamin D pills, try to take them sublingually, for better absorption.
I would take vitamin K2  along with the D to ensure that calcium (metabolized by vitamin D ) goes to joints, bones and teeth, instead of
soft tissues.





Helpful - 0
Avatar universal
SSB (La) (ENA) AB, IgG
0
Reference Range0-40

Comment
INTERPRETIVE INFORMATION: SSB (La) (ENA) Ab, IgG 29 AU/mL or Less ............. Negative 30 - 40 AU/mL ................ Equivocal 41 AU/mL or Greater .......... Positive SSB (La) antibody is seen in 50-60% of Sjogren syndrome cases and is specific if it is the only ENA antibody present. 15-25% of patients with systemic lupus erythematosus (SLE) and 5-10% of patients with progressive systemic sclerosis (PSS) also have this antibody.

CH 50 EIA
111
Reference Range60-144
Comment
INTERPRETIVE INFORMATION: Complement Activity, Total EIA 59 CAE Units or less .......... Low 60-144 CAE Units .............. Normal 145 CAE Units or greater

IgG Subclass 4
12 mg/dL
Reference Range7-89

Comment
The total IgG (mg/dL) can be derived by the sum of the subclasses IgG1, IgG2, IgG3 and IgG4 values. However, a confirmatory and more precise total IgG is available by the nephelometric method of total IgG (Test # 00-50350)

Helpful - 0
Avatar universal
Thank you very much. I have some more blood test that were done and they want me to go to a rheumatoid doctor but I don't know what other test they can do. I was but on vit d pills once a week 50,000 intl UNITs. What are they going to do because I don't have enough protection or what is causing this. The reason they did this was because I was told I have chostiocondrits. Then they thought that I had lupus. I will update with the other blood test that were done if you don't mind helping
Helpful - 0
1530171 tn?1448129593
Hey leagle 97.

There's a lot of generic lab information on your report, which may cause
some confusion.

Your vitamin D level is very low. I would personally call this a serious deficiency. The lab's normal range  is well below the levels recommended by the vitamin D council  at 49-50 ng/ml .
Is this deficiency being addressed?
If, not, this is enough to affect your health negatively with some serious consequences, if not treated asap!

H Influenza Ab, IgG  0.7 .  It indicates you don't have enough protection
as antibodies to H. Influenza were detected, but concentration was low.
The rest of the information on this is irrelevant, in the absence of  pre-vaccination concentration data.

SS-B/La antibodies are found primarily in patients with Sjogren’s syndrome or Lupus. Your test result is negative.

I hope this helps,
Niko

Helpful - 0
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