posted
My c-reactive protein levels are elevated. What does this mean? Is it an indication of inflammation? I thought it had to do with your heart. They want to re-check them in few weeks.
Posts: 199 | From here | Registered: Apr 2005
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Areneli
Frequent Contributor (1K+ posts)
Member # 6740
posted
Perhaps it is herx
Posts: 1538 | From Planet Earth | Registered: Jan 2005
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posted
CRP is a measure of inflammation, as said above. It goes up and down more quickly than the "sed rate."
If you have Lyme, the elevated CRP would probably be atttributed to that, and it is not the same situation as having inflammation in your blood vessels contributing to heart disease.
With a severe Lyme flare, my CRP was in the 80's!!!!! Nevertheless, I was told repeatedly that this didn't signiify any heart risk, but was due to inflammation from my illness.
My CRP went down to normal in a few weeks after that flare. It has been slightly elevated at other times but seems to be normal a lot too. Must go up and down w/Lyme...
posted
My CRP has been up for quite a while - always been told it was caused from inflammation and 'not to worry about it'.
I haven't had a heart attack - so I ain't worrying about it.
Just follow up with what your doc wants - and try not to worry. I know it's difficult not to worry, especially if you've got lyme bugs living in the tissue between your ribs & you have constant chest pains. Been there! Still there as a matter of fact!
Hang in there.
Blessings,
------------------ DR. Wiseass - not a real doc - just a real wise ass. www.twistoflyme.blogspot.com
posted
Bigmamma, you got to this question before me, and it's my big concern also.
I recently underwent nerve conduction studies where they shocked the nerves for diabetic neuropathy. All were normal, but during the shock treatment, the neurologist saw on the machine about the CRP levels were high.
Doc suggested it might be "occult coronary artery disease". Any one else told this? He didn't tell me this, but the copy of his medical notes did!
Lyddie, thanks for the wonderful comments! I learned a lot from your answer.
Bettyg, Iowa
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Marnie
Frequent Contributor (5K+ posts)
Member # 773
posted
Brainstorming...
I know (documented) that if exposed to a pathogen that causes food poisoning, the body will dump cholesterol, fast - even before WBCs rise. This is an immediate, life-threating situation. If digestion goes kapoot...we can't absorb any nutrients. We MUST have a healthy gut.
(Cyclospora is on the increase.)
Why is it dumped? Cholesterol is a fat and a protein...acidic.
CEA...levels to detect cancer... is also a protein...acidic. They normally rise if cancer is present (not always totally accurate though).
CRP...another protein which rises when an infection is threatening.
Looks like our body, when confronted with certain pathogens, starts becoming acidic - elevating certain proteins because
...acids (lots) react with the minerals (little) to produce hydrogen...lots of it.
2 H's combine with 2 O's (most are free radicals) to make H2O2 which is capable of knocking off MOST, but not all - Bb - pathogens (bacterial, viral, fungal and even some spores).
Looks to me like the body may be trying to fight by 1st building up a "reserve" in some instances. Preparing for battle until other factors kick in (enough antibodies)?
Posts: 9424 | From Sunshine State | Registered: Mar 2001
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posted
Thanks everyone for the responses. Glad to know I'm not the only one with this issue.
Marnie, hmmm, so maybe that would also explain why in my ABG's my ph was off.
From what I understand from reading online, c-reactive protein can be an early indicator of infection and an indication of the level of inflammation. I guess there is a specific CRP test that is indicative of coronary involvement, but mine was just the general one .
I read on PubMed in an abstract Neurol Neurochir Pol. 2005 January-February;39(1):33-39.
"The serum level of CRP was increased only in 15% of patients and after the treatment CRP concentration returned to a basal level (except one patient in whom CRP was slightly higher than in the control group). No correlation between CRP and IL-18, IL-1beta and sIL-1RII was observed. Conclusions: Our results confirm the involvement of IL-18, IL-1beta and sIL-1RII in the pathogenesis of neuroborreliosis and uselessness of CRP determination in the diagnosis of Lyme meningitis."
So my LLMD might be using this baseline CRP to see my progress and if my treatments are reducing inflammation.
I already knew I had inflammation anyway due to the hypercoagulation abnormalities that have been discovered.
Hmmm, since it is secreted by the liver, could this mean maybe I have a liver problem?? Just thinking out loud. I haven't had any liver labs done since on abx.
[This message has been edited by bigmamma (edited 30 April 2005).]
posted
Just to let you know If you have United Healthcare, CRP is not an approved test for a Lyme Diagnosis. The reason is the AMA guidelines. Not sure what other Insurance companies will be doing in the future. I know last year when I was with Cigna no problem.
CRP has been a good marker for me in the past. THat is why we keep running the tests. Just now a pain with new insurance.
Posts: 533 | From Las Vegas, NV | Registered: Jun 2003
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posted
This is NOT the same as the CPK level, is it? That is also a sign of inflammation - specifically, of enzymes released by muscle tissues (there is a CPK level that specifically measures cardiac enzymes, I am told). My CPK levels have been in the 300-400 range, probably because of "molecular mimicry" - one of the outer surface proteins of Lyme so closely resembles that of muscle tissue that the immune system begins attacking the muscle tissue. I don't know if I have ever been tested for C-reactive protein. I do know someone in our Lyme group who brought up the fact once that her C-reactive proteins were elevated. (I did not know it was something that could be detected by an EMG, however - I thought it was bloodwork.)
Posts: 459 | From Connecticut - just across the river from the Lymes (Old Lyme, Hadlyme, East Lyme, South Lyme & Lyme) | Registered: Oct 2000
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quote:Originally posted by hwlatin: Just to let you know If you have United Healthcare, CRP is not an approved test for a Lyme Diagnosis.
I agree that it shouldn't be used for dx as Lyme is supposed to be a clinical dx. My LLMD dx me clinically and with supporting evidence of a highly + Western Blot through Igx. There was an older study I found (below) that indicated it could be used but I think it is rubbish. Could be good supporting evidence of the inflammation caused by chronic infections though.
~~~~~~~~~~~~~~~ Biomed Environ Sci. 1996 Dec;9(4):424-9. Related Articles, Links
A preliminary study of C-reactive protein in the diagnosis and monitoring of Lyme disease.
Chan SS, Wong YC, Hodgkiss IJ.
Department of Applied Biology, Hong Kong Baptist University, Hong Kong.
Concentrations of C-reactive protein (CRP) in the serum of 14 patients suffering from Lyme disease were measured. 86% of these patients were found to have abnormally high concentrations of serum CRP (range 14-158 mg/L). The CRP concentration of a 60-year-old patient abated from 29 mg/L to 13 mg/L after treatment. Results suggest that serum CRP concentration can provide a valuable and accurate means for the clinical diagnosis and monitoring of Lyme disease.
posted
Learning more from all of you all the time....thanks a bunch!
Bettyg
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JillF
Frequent Contributor (1K+ posts)
Member # 5553
posted
My CRP level started out at 33.1 two years ago, when I first went to my primary because of my range of symptoms.
This is way before I knew, much less thought, I had Lyme.
It got all the way up to 44.0, I believe. I think 0-4.4 is normal. So, my CRP has been WAY high.
Since taking antibiotics, it has come down to 25.0!!!! I have since been tested for it but have not been told the newest results....
I was relieved to see it finally coming down after having it climb higher and higher these past two years.
I was told by everyone that it was just inflammation. I have read articles on how the CRP has a connection to heart attacks. My LLMD told me he thought it would start to come back down after I started medication. He was right.
Also, I have read that exercise will bring you CRP down if you are overweight.
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