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230202 tn?1370797179
Pathology Report
Hi everyone  
I asked my specialist to send me copies of my pathology reports and now i'm puzzled.
The following results seem to be out of the normal range and are in bold on the report.
I was hoping someone would be able to interpret them for me.

Thank you.....xx

Immunoglobulins (Serum)
IgG 16.57 g/L (6.10 - 13.00)
IgA 3.47 g/L (0.69 - 3.10)
IgM 1.66 g/L (0.53 - 3.32)

Coagulation Test
Platelet count 413 x 10 9/L (150 - 400)

Cumulative Iron Studies
Iron umol/L 12 (11-27)
Transferrin umol/L 47 (20-45)
TFN Satn % 13 (15 - 55)
Ferritin ug/L 16 (15 - 200)

Full Blood Examination
Haemoglobin 113 (115 - 155) g/L
RCC 5.50 (3.80 - 5.30) x 10 12/L
MCHC 321 (320 - 360)
MCV 64 (82 - 99) fL
MCH 20.70 (27.00 - 34.00)pg
RDW 16 (<16)

White Cell Count
Eosinophils 0% 0.0 (0.0 - 0.6)

EBV & CMV Serology
Epstein Barr Virus
IgG positive, IgM Negative
Cytomegalovirus
IgG Positive, IgM Negative
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2 Answers
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Avatar universal
hi Linda,

neither i am a medical doctor, nor do i know the background of your tests (i.e. are you concerned about something in particular, do you have a diagnosis of viral hepatitis, or are you searching for a diagnosis of some liver issues)?

In any case, here is what i as a layman would read out of it (and it's not much)

* regarding your elevated IgG: in case you have a chronic infection (like HCV), this elevation would be very typical, and as such nothing to worry in addition, see [1].

* Coagulation:
the platelet count is excellent. Shows that your liver is working nicely.

* Iron:
  - transferin saturations and Ferritin are not elevated, so that would speak against Hemochromatosis [2].  
  - However, the elevated level of Transferrin could point to some other, milder, from of iron overload. That is definitely something to ask the doctor about.

* EBV and CMV: like most people, you have been exposed to those viruses at some point in your life, but you are not recently infected (IgM negative)

HOWEVEr, as I said, i am a TOTAL LAYMAN ==> Hence, you sould definitely ask your specialist about his/her interpretaion. (Be inconvenient in case there is "no time" for that, be pushy!)

best wishes
Joachim

~~~

[1]  "Hepatitis C infection correlates with alteration of serum immunoglobulins pattern in chronic liver disease"

[2] http://home.vicnet.net.au/~johnlee/Hemo/diagnosis.htm

http://www.indianjgastro.com/article.asp?issn=0254-8860;year=2005;volume=24;issue=2;spage=83;epage=84;aulast=El-Kady
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230202 tn?1370797179
Thanks joachim.......you are a wealth of info.......
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