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» LymeNet Flash » Questions and Discussion » Medical Questions » URGENT: Interpreting Lab Results

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Author Topic: URGENT: Interpreting Lab Results
gvm76
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Member # 16380

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Hi All,

I just got my lab results, and here are the results. I really appreciate if you can interpret these results:

IgM Western Blot Result:
------------------------
IGENEX IGM Result: Negative

2 bands came out to be IND

39 kDa IND
41 kDa IND

Rest all bands negative.

IgG Western Blot Result:
------------------------

IGENEX IGG Result POSITIVE

18 kDa ++
23-25kDa ++
28 kDa +
31 kDa IND
39 kDa IND
41 kDa ++
58 kDa ++


What does the above result mean, IGM negative and IGG positive.

Do I have the Lyme desease and should I get started on antibiotics?

Also should I get tested for co-infections?

Thank you

Posts: 11 | From Milpitas | Registered: Jul 2008  |  IP: Logged | Report this post to a Moderator
lymednva
Frequent Contributor (1K+ posts)
Member # 9098

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gvm76 said:

quote:
What does the above result mean, IGM negative and IGG positive.

Do I have the Lyme desease and should I get started on antibiotics?

Also should I get tested for co-infections?

Yes to all, you have Lyme, need to find a LLMD and start treatment. LLMD can guide you in testing for coinfections.

To find a LLMD go to Seeking a Doctor Forum.

--------------------
Lymednva

Posts: 2407 | From over the river and through the woods | Registered: Apr 2006  |  IP: Logged | Report this post to a Moderator
Soleilpie
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What the positive IgG means is that you're positive for Lyme according to your test results.

You have to be careful in that the Western Blot test for Lyme is not very good and not a definitive test but definitely something your doctor should look at along with your clinical presentation.

However, since it's a WB from Igenex, I would tend to lean in the direction that you more than likely may have Lyme, especially if you're symptomatic.

--------------------
The best index to a person's character is how he treats people who can't do him any good, and how he treats people who can't fight back.
-Abigail van Buren (Pauline Esther Friedman) (1918-2002)

Posts: 409 | From Florida | Registered: Dec 2005  |  IP: Logged | Report this post to a Moderator
hcconn22
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Member # 5263

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Yes you have Lyme Disease. You test positive for 6/7 out of 10 bands.

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.

Response to antibiotics is the same if either is positive, or both. Some antibodies against the borrelia are given more significance if they are IgG versus IgM, or vice versa.

On the outer surface of the Lyme bacteria are various proteins. As they have been discovered, they have been assigned letters, such as outer surface proteins A, B, and C.

The following is a brief explanation of the test results. Again, each band is an antigen complexed (bound together) with an antibody made by the immune system, specifically for that antigen (part) of Borrelia burgdorferi.

18: An outer surface protein.

22: Possibly a variant of outer surface protein C.

23-25: Outer surface protein C (osp C).

28: An outer surface protein.

30: Possibly a variant of outer surface protein A.

31: Outer surface protein A (osp A). 34: Outer surface protein B (osp B).

37: Unknown, but it is in the medical literature that it is a borrelia-associated antibody. Other labs consider it significant.

39: Unknown what this antigen is, but based on research at the National Institute of Health (NIH), other Borrelia (such as Borrelia recurrentis that causes relapsing fever), do not even have the genetics to code for the 39 kDa antigen, much less produce it. It is the most specific antibody for borreliosis of all.

41: Flagella or tail. This is how Borrelia burgdorferi moves around, by moving the flagella. Many bacteria have flagella. This is the most common borreliosis antibody.

--------------------
Positive 10 bands WB IGG & IGM
+ Babesia + Bartonolla and NOW RMSF 3/5/09 all at Quest

And still positive ELISA and WB two years after IV treatment
http://www.lymefriends.org/profile/blake

Posts: 607 | From Tick Town, Connecticut | Registered: Feb 2004  |  IP: Logged | Report this post to a Moderator
hcconn22
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Member # 5263

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Read this it will tell you the whole story about lab results.

http://flash.lymenet.org/ubb/ultimatebb.php?ubb=get_topic;f=1;t=042077

--------------------
Positive 10 bands WB IGG & IGM
+ Babesia + Bartonolla and NOW RMSF 3/5/09 all at Quest

And still positive ELISA and WB two years after IV treatment
http://www.lymefriends.org/profile/blake

Posts: 607 | From Tick Town, Connecticut | Registered: Feb 2004  |  IP: Logged | Report this post to a Moderator
   

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