This is topic Immune system question? in forum Medical Questions at LymeNet Flash.


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Posted by SDAR (Member # 51751) on :
 
How do you know if your immune system is weak by blood work results? Is it determined by WBC, RBC or something else?
 
Posted by Bartenderbonnie (Member # 49177) on :
 
I got dismissed from my primary doctor's practice after being a patient for close to 20 years. I was dying, unable to walk, speak a sentence or take care of myself. My western blot showed 3 reactive bands, 23, 39 and 41.He gave me a referal for a pyschriatist and 1 week later, a certified letter came dismissing me from his practice.

It took me 6 months to get an appointment for a new primary. Best thing that ever happened to me. He listened attentively for over 1/2 an hour and ordered me lots of blood work. We soon discovered I had an immune disorder. A simple blood test for IgG subclasses 1 - 4, IgM, and IgA. I was dangerously low and now I recieved IVIG monthly.

Interesting, my LLMD also tested my IgG subclasses 1-4 at my first visit.
Smart doctors are worth every dime, they save lives.

Here's more about immune system disorders;
https://primaryimmune.org/about-primary-immunodeficiencies/specific-disease-types
 
Posted by Garz (Member # 52095) on :
 
yep - immunoglobulin imbalances are a common finding and barrier to recovery in lyme - according to Horowitz

but there are plenty of other disorders of the immune system - as its a complex beast

some may be visible on a CBC - like odd numbers for the various white blood cells - but if its anything like mine - a different marker will be a little out of range each timei am tested but nothing that would make teh average primary care doctor pay attention.

there is a more specialized test often performed as a supplementary test in suspected Lyme patients.
eg a count of particular type of white blood cells called CD57+ cells.
this is a particular form of white blood cell involved in fighting viruses and bacterial pathogens are are often found to be low in lyme disease ( but also occasionally very high )

mine are around 1/10th of the average healthy number for instance. Lyme testing labs usually offer this test.
 
Posted by Robin123 (Member # 9197) on :
 
You can get a standard WBC bloodtest count.

Re CD57, mine was in normal range altho I was sick. It doesn't always correlate.
 
Posted by Garz (Member # 52095) on :
 
quote:
Originally posted by Robin123:


Re CD57, mine was in normal range altho I was sick. It doesn't always correlate.

yep, that's why it's used as a supplementary test.

since there are NO foolproof tests for lyme testing and diagnosis is a case of using several tests, each using different methodologies, together with patient history and symptoms pattern to build a probabilistic result.
 
Posted by susank (Member # 22150) on :
 
On a Chem. Panel - look at Globulins and A/G ratio.
That was my GP's clue something was wrong.
Further testing revealed an immune deficiency ie CVID. I started on IVIG.
The ID was discovered around the time Lyme was suspected and/or Dx'd - I was in bad shape - still am.
I looked at old bloodwork - my Globs and A/G ratio had always been in ref. range.
I now suspect Lyme caused my immune system to crash.
 


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