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» LymeNet Flash » Questions and Discussion » Medical Questions » IgeneX test result questions

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Author Topic: IgeneX test result questions
starrant
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Ok, I got the western blot test, and received a 4 page printout of my test results from IgeneX.

For the IGM Western Blot, I had an "IND" for indeterminate on the 31 kDa band, one "+" for the 30kDa band, 2 "+" for the 39 kDa band, 1 "+" for the 41 kDa band, and 1 "+" for the 66 kDa band. Can anyone tell me what this means?

Do I have lyme disease or was I exposed in the past??? For the IGG Western blot, I only had one "IND" for the 41 kDa band.

What are the possible reasons you would have a "+" for each band if in fact, you don't have lyme disease??? Can someone help me here?

Posts: 33 | From Portsmouth, VA | Registered: Sep 2006  |  IP: Logged | Report this post to a Moderator
Lisianthus
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Having all those positives on your IGM means CURRENT infection.


This is something I wrote for another post :

-------------------------------------------------


Bands 31,34,39 are all specific to Bb and nothing else.


Band 30 is potentially significant.


Other bacteria besides Borrelia burgdorferi may produce the 45, 58, 66, and 73 kDa bands. These bands may be produced by Borrelia burgdorferi, but are not nearly as specifically associated with Lyme borreliosis as the starred bands.


66: Heat shock protein. This is the second most common borrelia antibody.


Bands specific for Borrelia burgdorferi:

14-kDa
21-kDa
22-kDa OspC
25-kDa OspC
28-kDa OspD
31-kDa OspA
34-kDa OspB
35-kDa
37-kDa
39-kDa
47-kDa
50-kDa
83-kDa
93-kDa
94-kDa


Here is some info on band 41:

Band 41 can be: Bb, gum disease, syphilus, or EBV(Epstien Barr Virus)

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=1894359&query_hl=2&itool=pubmed_docsum


I hope this helped you. Do you have a LLMD?

Lisi

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Posts: 986 | From Michigan | Registered: Dec 2004  |  IP: Logged | Report this post to a Moderator
Lymetoo
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[QUOTE]Originally posted by starrant:


For the IGM Western Blot, I had an "IND" for indeterminate on the 31 kDa band, one "+" for the 30kDa band, 2 "+" for the 39 kDa band, 1 "+" for the 41 kDa band, and 1 "+" for the 66 kDa band. Can anyone tell me what this means?
It means you have Lyme disease. The ++ on 39 alone would say you have Lyme, as it is Lyme-specific.


What are the possible reasons you would have a "+" for each band if in fact, you don't have lyme disease???
NONE, that I can think of.

Read this ALL THE WAY THROUGH, including the replies. LOTS of good information there.


Western Blot explanation:
http://tinyurl.com/ffn3x

From the above link:
"Because Borrelia burgdorferi is a chronic persistent infection that may last for decades, you would think patients with chronic symptoms would have positive IgG Western blots.

But actually, more IgM blots are positive in chronic borreliosis than IgG. Every time Borrelia burgdorferi reproduces itself, it may stimulate the immune system to form new IgM antibodies.

Some patients have both IgG and IgM blots positive. But if either the IgG or IgM blot is positive, overall it is a positive result."

-------------------------------

Also from the link:

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


More info that may help:

When to Suspect Lyme Disease
http://tinyurl.com/lx2pz

PS...Lyme is a clinical diagnosis. Find a dr who is willing to treat you.

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

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Penn92
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You've got Lyme. Hie thee to the nearest LLMD! Welcome to the club no one wants to be in... [group hug]

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than have to get over it. - Oscar Wilde

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Aligondo Bruce
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the band at 41 wrt gum disease, that's really only for obvious ulcerative gum disease. the cross reactions at fla 41 have been WAY overblown. It is a problem, but not nearly as big a problem as one might think. remember, flagellin is constitutively expressed, whereas these other surface lipoproteins are not.41 + 39 on a blot is diagnostic for Bb exposure and possible symptomatic or latent infection.
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treepatrol
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Aligondo Bruce
Good Job absolutly correct !!

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Remember Iam not a Doctor Just someone struggling like you with Tick Borne Diseases.

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starrant
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Thanks everyone. One question though: based on this test result alone, is it true that I only know for sure that I have been previously exposed to lyme disease, and that there is no way to know for sure whether or not I have lyme disease right now?

Do the numbers of "+" I have indicate that I do in fact have a CURRENT INFECTION or just that I was exposed to lyme, but may in fact not have lyme right now??

Posts: 33 | From Portsmouth, VA | Registered: Sep 2006  |  IP: Logged | Report this post to a Moderator
Lisianthus
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Do you have symptoms currently?


SYMPTOM CHECKLIST

This is not meant to be used as a diagnostic scheme, but is provided to streamline the office interview. Note the format -- complaints referable to specific organ systems are clustered to better display multisystem involvement.

NAME_______________________________________DATE__________________

RISK PROFILE (PLEASE CHECK)

Tick infested area ___ Frequent outdoor activities ___ Hiking ___ Fishing ___ Camping ___ Gardening ___
Hunting ___ Ticks noted on pets ___ Other household members with Lyme ___
Do you remember being bitten by a tick? No ___ Yes ___ when ________
Do you remember having the ``bull's eye rash?'' No ___ Yes ___
Any other rash? No ___ Yes ___

Have you had any of the following? CIRCLE ALL YES ANSWERS

Unexplained fevers, sweats, chills, or flushing
Unexplained weight change (loss or gain -- circle one)
Fatigue, tiredness, poor stamina
Unexplained hair loss
Swollen glands: list areas _______________________________________________
Sore throat
Testicular pain/pelvic pain
Unexplained menstrual irregularity
Unexplained milk production; breast pain
Irritable bladder or bladder dysfunction
Sexual dysfunction or loss of libido
Upset stomach or abdominal pain
Change in bowel function (constipation, diarrhea)
Chest pain or rib soreness
Shortness of breath, cough
Heart palpitations, pulse skips, heart block
Any history of a heart murmur or valve prolapse?
Joint pain or swelling: list joints _________________________________________________
Stiffness of the joints or back
Muscle pain or cramps
Twitching of the face or other muscles
Headache
Neck creaks and cracks, neck stiffness, neck pain
Tingling, numbness, burning or stabbing sensations, shooting pains, skin hypersensitivity
Facial paralysis (Bell's Palsy)
Eyes/Vision: double, blurry, increased floaters, light sensitivity
Ears/Hearing: buzzing, ringing, ear pain, sound sensitivity
Increased motion sickness, vertigo, poor balance
Lightheadedness, wooziness, unavoidable need to sit or lie down
Tremor
Confusion, difficulty in thinking
Difficulty with concentration, reading
Forgetfulness, poor short term memory, poor attention, problem absorbing new information
Disorientation: getting lost, going to wrong places
Difficulty with speech or writing; word or name block
Mood swings, irritability, depression
Disturbed sleep -- too much, too little, fractionated, early awakening
Exaggerated symptoms or worse hangover from alcohol

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Michelle M
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quote:
Originally posted by starrant:
Thanks everyone. One question though: based on this test result alone, is it true that I only know for sure that I have been previously exposed to lyme disease, and that there is no way to know for sure whether or not I have lyme disease right now?

Do the numbers of "+" I have indicate that I do in fact have a CURRENT INFECTION or just that I was exposed to lyme, but may in fact not have lyme right now??

IgM is an indicator of current infection. Yours seems pretty positive.

IgG indicates past exposure.

These can vary back and forth during illness. However, yours looks pretty clear on your IgM.

Ducks will typically try and discount such a test but you shouldn't.

Along with an IgM like that and symptoms of lyme, if any, most LLMD's would consider that you have an ongoing, current infection.

Michelle

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