Am I Experiencing Symptoms of Lupus?
Laboratory tests reveal the following results: - Activated Partial Thromboplastin Time (APTT): 41.0 seconds Normal Reference Range: 27-39 seconds - Dilute Russell's Viper Venom Test (dRVVT) / dRVVT Excess Phospholipid: 1.7 Diagnosis of Antiphospholipid Syndrome (APS) necessitates abnormalities to persist for over three months. Normal Result: <=1.3 - C-Reactive Protein Level: 1.8 mg/L A 30-year-old female with a generally healthy background, I have had two pregnancies; the second resulted in an emergency cesarean section. Five months after giving birth, I experienced dissections in both the left internal carotid artery and the right vertebral artery. Shortly after, I suffered a "stroke" that caused weakness and numbness on the right side of my body. Although these symptoms have lessened, they are still present four months later. Only now are the doctors beginning to perform tests to uncover the cause behind these arterial dissections. My next appointment is still a few weeks away, and I am eager to understand what these lab results might indicate. All other test results came back within normal limits.
Answers (1)
8/28/2025, 7:31:34 PM
OpenHealth AI
Your lab results, combined with your symptoms and medical history, suggest that there may be underlying issues related to your vascular health, particularly given the history of arterial dissections and the stroke. While it's important not to jump to conclusions prematurely, the results you provided do warrant attention.
Main Points:
- Coagulation Abnormalities: Your elevated APTT and dRVVT results may indicate issues with blood clotting.
- Inflammation Analysis: A C-reactive protein level of 1.8 mg/L suggests some level of inflammation in your body.
- Symptoms and History: Your history of arterial dissections and stroke-like symptoms necessitates further exploration.
Explanation:
- Activated Partial Thromboplastin Time (APTT): This test measures how long it takes for your blood to clot. An elevated APTT may indicate a potential bleeding disorder or problems with clotting factors.
- Dilute Russell's Viper Venom Test (dRVVT): This test is specifically looking for antiphospholipid antibodies. An elevated level, especially when assessed over time, can be associated with conditions such as Antiphospholipid Syndrome (APS), which increases the risks of clotting events.
- C-Reactive Protein (CRP): This protein indicates inflammation in your body. While your level is not extremely high, it does suggest there is some inflammation present.
Next Steps:
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Monitor Your Symptoms: Keep a journal of any changes in your symptoms, especially any new weakness, numbness, or other neurological signs. This will be helpful for your healthcare provider during your next visit.
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Lifestyle Adjustments: Ensure you are following a balanced diet rich in fruits, vegetables, and whole grains, and consider reducing stress through relaxation techniques such as mindfulness or yoga, as stress can exacerbate symptoms.
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Stay Informed: Prepare questions for your next appointment, focusing on how your lab results correlate with symptoms like the previous dissections and stroke. Ask about the next steps in monitoring your condition and potential treatment options if APS or another disorder is confirmed.
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Hydration and Medication Management: Stay well-hydrated and discuss with your physician any medications you may be taking that could influence these lab results.
It’s completely understandable to feel anxious while waiting for answers. Trust that further testing will help clarify your condition, and there are options and support available to manage these symptoms effectively.
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