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» LymeNet Flash » Questions and Discussion » Medical Questions » Help interpreting Quest CD-57

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Author Topic: Help interpreting Quest CD-57
lacyndora
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Member # 44278

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Hey all,

I received my Quest CD-57 test results today and am stymied.

(I've read through several posts suggesting IGenex is best, and Labcorp is better, but right now, I can only use Quest.)

I copied and pasted exact results below. They certainly don't make it easy to read.


CD57, CD3, CD8, FLOW EZ

CYTOMETRY

CD57+/CD3- OF % LYMPHS 3 (range 1-10%)

CD57+/CD3- OF % WBC 1 (range 1-4%)

CD27+/CD3- ABSOLUTE 58 (range 20-258 cells/uL)

CD57+/CD3-/CD8- OF %

LYMPHS 2 (range 1-5%)

CD57+/CD3-/CD8- OF % WBC 1 (range 1-3%)

CD57+/CD3-/CD8- ABSOLUTE 39 (range 20-114 cells/uL)

CD57+/CD8- OF % LYMPHS 4 (range 1-15%)

CD57+/CD8- OF % WBC 1 (range 1-4%)

CD57+/CD8- ABSOLUTE 78 (range 20-248 cells/uL)


In this thread (http://flash.lymenet.org/ubb/ultimatebb.php/topic/1/126846#000007) @seibertneurolyme mentions that for Quest, the important thing to look at is the "absolute" number, but that threw me off because I see 3 absolutes.

Does anyone know which "absolute" to go by?

Posts: 5 | From Durham, NC | Registered: Jul 2014  |  IP: Logged | Report this post to a Moderator
MichaelTampa
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Quest doesn't do the same test. It is not of interest.
Posts: 1927 | From se usa | Registered: Mar 2010  |  IP: Logged | Report this post to a Moderator
SickSci
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Member # 43849

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The "CD" stands for "Cluster Determinants", and they're like nametags for different types of cells.

The R. Stricker paper that put CD57 NK1 testing on the map focusses on CD57+/CD8- cells.

So that final Abs value (78 cells/uL) would be your focus, and would be considered "low".

However, the usefullness of this test is really controversial, now. For example, my labcore CD57 result was 15 - scary low and a slam dunk for Lyme by Stricker standards, but my LLMD was not conccerned.

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- Working Dx: Protozoa x3, Bartonella
- Tx: Biaxin, Mycobutin, Ivermectin, boluoke, serapeptase, allimed, silver ACS 200 spray, Mg, Iodoral, fish oil, Vit's B, C, D, NAC, etc

Posts: 121 | From Nc | Registered: May 2014  |  IP: Logged | Report this post to a Moderator
   

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