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Chronic Fatigue Syndrome
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Posted 5/12/2006 7:47 PM (GMT -8)
Dear Hippimom2-

I hope you remember me....I have the daughter who is going to be evaluated for CFS on May 17th.  We got the remainder of her blood tests results today for us to take to the specialist.  I know you aren't a doctor but could you shed some light on the possibilities of what these results mean?  I previously spoke to you about her ANA, which they forgot to do the first time, well it's negative (good thing).  Her ESR-Westergren went from 22 (reference 0-20) on 3/8/06 to 23 on 4/7/06.  There is a whole page of results so I'll only give you the "out of range" :

IGG  Subclass 2           623          (reference 68-525)

Coxsackie B Antibody

      Coxsackie B2 AB      8           (less than 8)

      Coxsackie B3 AB      8           (less than 8)

      Coxsackie B5 AB     16          (less than 8)

      Coxsackie B6 AB      8           (less than 8)

Echovirus Antibodies

      Echovirus 30         1:160       (<1:10)

How is your son doing?  I'm sorry to hear you haven't been doing well (from your posts).  Anything you could tell me would be helpful as this is still so confusing to me.

Thank you!

Posted 5/12/2006 8:24 PM (GMT -8)
Tofiga, I'm glad you got the rest of the results back. These are labs I don't know a lot about, and it was hard to find information on them. Since the ESR is still slightly elevated it most likely means that there is still inflammation present somewhere in your daughter's body. I think the IGG has something to do with the body's immune system. From what I found on the Coxsackie Antibody, it looks like both those and the Echovirus Antibodies could be causing a lot of her symptoms - but I don't know what it means for your daughter in terms of diagnosis. From what I read about the Echovirus is that it can be very transient and people experience flu like or respiratory illness symptoms. I'll be really interested to see what the specialist says on the 17th.

My son sees the pediatric rheumatologist on the 19th. His pediatrician ran some more labs and the labs looked worse. His ANA and ESR were the highest they have been and his hemogloben was borderline anemic. He's responding pretty well to physical therapy and anti inflammatories.

I'm sure the specialist can give you a lot more insight into what these labs mean. Ask him to take time to explain what each abnormal lab indicates as far as illness. Let me know what happens. I hope the appointment goes well. Sorry I couldn't help more.

Take care
Posted 5/12/2006 10:03 PM (GMT -8)
Thanks for the quick response.  It's just so hard waiting to see the specialist....it's been so long already but I'm sure you know how that feels!  I have never had much patience either.  I'll let you know what happens on Wednesday.  I hope your son gets better.  No one should have to go through what he is experiencing, especially at his age.  Hang in there!

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