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» LymeNet Flash » Questions and Discussion » Medical Questions » Band 23???

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Author Topic: Band 23???
Tarav
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I just joined the board recently but have kept low b.c I do not have a diagnosis yet. I was orginally sent to a rheumotolist to rule out Lupus or any Autoimmune diseases.

I did get a start and found a LLMD in my area...however I cant get in til january.

So I let the Rheumy do the bloodwork on me. ALl for Lupus came back negative or any other autoimmune.

My vitamin D came back at 13 (which was low) SO she is putting me on a mega dose.

My EBV (this is how she worded it) "chronic" and "acute" both came back high.

Everything else was good.

I am just looking over my results myself on the Lyme test.

IgG was negative ..no bands present

IgM came back negative with only Band 23 present??

I did read the Western Blot explanation..but everything just isnt registering.

Should I go ahead with the LLMD or do you think I can rule out Lyme b/c of the results>>

I am SOOO sorry of any of this has been asked before. Like I said..I am new and trying to figure this all out!!!

any feedback would be appreciated!

Tara

Posts: 21 | From New Jersey | Registered: Oct 2009  |  IP: Logged | Report this post to a Moderator
Lymetoo
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I would go ahead with the appointment. I don't have time to look right now, but I'm almost positive that band 23 is Lyme specific... nothing else could make it show up.

The EBV is important and needs to be treated. I doubt a rheumie would know how to treat that. An LLMD would.

Also.. the lab used for your test is likely not a good one... probably doesn't even test for ALL of the possible bands. (seriously)

So, either order a test kit from Igenex now and get your rheumie to sign off on it.. or wait until your apptm in January to get it done.

www.igenex.com

Test #188 and 189 is what most of us order

--------------------
--Lymetutu--
Opinions, not medical advice!

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Tarav
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ThankYou Lymetoo!!!! I am going to kept the appt.

I guess sometimes you just need reassurance from people that have been there before. B/c these docs are constantly making me feel crazy!!

I appreciate the post!!

Posts: 21 | From New Jersey | Registered: Oct 2009  |  IP: Logged | Report this post to a Moderator
TxLymie
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I have bands 41 and 23. My understanding is 41 is not necessarily specific to lyme but 23 is.

I also don't have time to research right now but I think my memory is correct on this.

I also have chronic EBV. In my opinon this might be worse than lyme because I am so fatigued most of the time. I will be curious to hear what your LLMD tells you to do about this.

I also had low vit D and was put on mega doses. within a month I was back to normal so hopefully you will be too. I know just take over the counter vit D.

--------------------
TxLymie
IgG-Negative
IgM - Postive bands 23 and 41

Other dx: 2000: Endometriosis 2009: Chronic EBV, Mycoplasma infection, HHV6, H.pylori

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coltman
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Did you do igenex WB? -dont pay attention to quest or labcorp ones.

Vitamin D is one sign of infection. Cd57 is another one , VEGF is another one - I have quite a few labs showing abnormalities and they all together are indicative of chronic disregulation. You might have cpn,mol,viral infections or what else

Now I do also have positive igenex test (and had positive quest 23/41 IGM -but on 2nd run it was clear - giving their dubious thresholds of reporting bands you cant rely on it)

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Tarav
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No this was through Labcorp. I wont be able to see the LLMD til January and My Rheumie wanted to run her bloodwork on me to rule out autoimmune.

I just wanted to see of I was headed in the right direction with all of this. <3

Posts: 21 | From New Jersey | Registered: Oct 2009  |  IP: Logged | Report this post to a Moderator
22dreams
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Tara,

Even if you have one band positive, the tests are for antibodies not for the presence of the bacteria.

To be considered for use as a diagnostic tool, the sensivity of a test must be 95% or better. to give you an idea, the sensitivity of conventional HIV tests is 99.5%.

The sensitivity of tests, even at the better labs, runs in the 70s.

and there are any # of reasons why someone would test Negative even if the tests were perfect.

http://www.anapsid.org/lyme/lymeseroneg.html

Why there's a need for Clinical Judgment in the Diagnosis and Treatment of lyme. and why it is critical to see a LLMD to rule it in or out, and to address any other tick-borne diseases.

www.jpands.org/vol14no3/maloney.pdf

Most LLMDs are fairly integrative and well-versed so they can additionally address something like the EBV as well, like LymeToo said.

I believe my LLMD told me that band 23 is lyme-specific and that nothing else could make that show up, as well.

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Tarav
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Thankyou all for the replies. I truly appreciate it.

I am just going to keep doing my research and see what happens.

I just want to educate myself and know exactly where I stand before another doctor just brushes me off.

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Lymetoo
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Here are the Lyme specific bands, according to Dr C of MO:

"The significant antibodies, in my opinion, are the 18, 23-25, 28, 30, 31, 34, 39, 58, 66 and 93."

from:

http://flash.lymenet.org/ubb/ultimatebb.php/topic/1/42077

--------------------
--Lymetutu--
Opinions, not medical advice!

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timaca
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Here's some info on Chronic EBV infection:

http://www3.interscience.wiley.com/cgi-bin/fulltext/111088889/PDFSTART

These authors find EBV VCA IgG of >=1:640 and EA of >=1:160 in patients with chronic active EBV infection (CAEBV).

This link gives additional info:

http://www.vicd.info/testing.html

Dr. Montoya's criteria for participation in his recent research is at this link:

http://clinicaltrials.gov/ct/show/NCT00478465?order=1

The criteria he used is:

Patients with "high" antibody titers against HHV-6 IgG ≥ 640, EBV VCA IgG ≥ 640 and detectable EA Ab at 1:160 or HHV-6 IgG ≥ 320 if EBV VCA IgG ≥ 1280 and has detectable EA Ab at 1:160 (measured by the average of a minimum of two time points obtained during screening at least 3 weeks apart).

If EBV is a problem, then you should also check for HHV-6 at Focus Lab www.hhv-6foundation.org and enterovirus at ARUP lab www.enterovirusfoundation.org

Best, Timaca

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mazou
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I am 23 and 41 as well.
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Dekrator48
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According to Dr B, band 23 is "OSP C" (Outer Surface Protein C) which is Lyme specific...see page 7 of this important paper.....


http://www.ilads.org/lyme_disease/B_guidelines_12_17_08.pdf

--------------------
The fibromyalgia I've had for 32 years was an undiagnosed Lyme symptom.

"For I know the plans I have for you", declares the Lord, "plans to prosper you and not to harm you, plans to give you hope and a future". -Jeremiah 29:11

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Tarav
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I am hoping this LLMD helps me!! I feel like I dont know what I am doing anymore!! [Frown]

Thankyou for all the information, I am going to read up on EVERYTHING!!!!

Being that my EBV is active, do you think Band 23 came from that????

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Tarav
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You know what I think is funny (just thought of this) On the WB IgM.you have to have two bands present to be positive.

But on my test Band 23 is highlighted as abnormal???? Whats the point in labeling it abnormal if no one is going to look at it??

Sorry just thinking outloud!! LOL

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Lymetoo
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You are exactly RIGHT! Good thinking!

Lyme is a very political disease that many drs do not want to treat. So they will ignore a Lyme specific band as not being important.

Go figure.

--------------------
--Lymetutu--
Opinions, not medical advice!

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