Immune System Tests: What Your Results Mean for You - Internal Medicine

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Immune system


Anti-Thyroglobulin Antibody (TA) = 13.87
Anti-Nuclear Antibody = Negative at 1:80
C4 Quantitation = 58.46
C3 Quantitation = 137.97
Anti-Thyroid Peroxidase Antibody (AMA) = <3.00
High-Sensitivity C-Reactive Protein (hsCRP) = 0.16
Rheumatoid Factor = 12.68
Erythrocyte Sedimentation Rate (ESR) 1 hour = 8
Immunoglobulin E (IgE) = 289
Dear Director: Due to skin itching, the dermatology clinic diagnosed it as prurigo, which has been fluctuating between good and bad.
I visited the immunology department, and the blood test results showed these values.
I am concerned whether there might be an underlying immune-related disease.
Thank you!

Huang Xiao You, 50~59 year old female. Ask Date: 2024/02/07

Dr. Gao Jiankai reply Internal Medicine


Hello, thank you for your inquiry.
Your report shows that only your IgE level is elevated, which is indicative of an allergic condition.
If your C4 level is slightly elevated, it is not a concern; C4 can increase when the body is unwell and does not have special significance.
I recommend discussing the management of your elevated IgE levels with your physician.
The Allergy, Immunology, and Rheumatology Department at Changhua Hospital, Ministry of Health and Welfare, is here to support you.

Reply Date: 2024/02/07

More Info


Understanding your immune system test results can be quite daunting, especially when you are experiencing symptoms like skin itching and rashes. Let's break down your test results and what they might indicate about your immune system health.

1. Anti-Thyroglobulin Antibodies (TA): Your result is 13.87. Elevated levels of anti-thyroglobulin antibodies can indicate autoimmune thyroid disease, such as Hashimoto's thyroiditis or Graves' disease. However, your level is not significantly elevated, and it is essential to correlate this with clinical symptoms and other thyroid function tests to determine if there is an underlying thyroid issue.

2. Anti-Nuclear Antibody (ANA): Your result is negative at 1:80. A negative ANA test is a good sign, as a positive result can indicate autoimmune diseases such as lupus or rheumatoid arthritis. Since your result is negative, it suggests that there is no significant autoimmune activity detected in your body at this time.

3. Complement Levels (C3 and C4): Your C3 level is 137.97, and your C4 level is 58.46. These complement proteins play a role in the immune response. Normal levels of C3 and C4 suggest that your complement system is functioning well, which is a positive indicator. Low levels of these proteins can be associated with autoimmune diseases, but your results do not indicate any deficiency.

4. Anti-Thyroid Peroxidase Antibodies (Anti-TPO Ab): Your result is <3.00, which is within the normal range. This test is often used to assess for autoimmune thyroid conditions. A negative result suggests that there is no significant autoimmune activity against the thyroid.

5. High-Sensitivity C-Reactive Protein (hsCRP): Your level is 0.16. This is a marker of inflammation in the body. Low levels of hsCRP indicate that there is no significant systemic inflammation, which is a good sign.

6. Rheumatoid Factor (RA Factor): Your result is 12.68. A normal RA factor is generally considered to be less than 14. Elevated levels can indicate rheumatoid arthritis or other autoimmune conditions, but your result is within the normal range.

7. Erythrocyte Sedimentation Rate (ESR): Your result is 8. A normal ESR indicates that there is no significant inflammation in the body. Elevated ESR can be a sign of inflammation or autoimmune disease.

8. Immunoglobulin E (IgE): Your level is 289. Elevated IgE levels can indicate allergic reactions or conditions such as asthma or eczema. Since you mentioned experiencing itching and rashes, this could correlate with an allergic response.


Summary and Recommendations
Based on your test results, there are no significant indicators of autoimmune disease. Your negative ANA, normal complement levels, and normal RA factor suggest that your immune system is functioning properly without signs of autoimmune disorders. However, the elevated IgE level indicates that you may have an allergic response, which could explain your skin symptoms.

It is essential to follow up with your healthcare provider to discuss these results in detail. They may recommend further testing or a referral to an allergist or dermatologist to explore the cause of your itching and rashes. Treatment options may include antihistamines or topical corticosteroids to manage your symptoms effectively.

In conclusion, while your test results do not indicate a significant immune system disorder, they do highlight the importance of addressing your allergic symptoms. Working closely with your healthcare provider will help you manage your condition and improve your quality of life.

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