@A MyLupusTeam Member I can relate to some of what you’re describing. Lupus can definitely affect blood counts and make things confusing because several labs can shift at once.
For example, your numbers show:
• RBC 3.46
• Hemoglobin 10
• Hematocrit 33
Those are considered mild-to-moderate anemia levels, which can absolutely explain feeling weak, exhausted, and short of breath.
When I look at my own labs for comparison, my numbers were a little different. My red blood cells were higher than yours, but my hemoglobin and hematocrit were still being monitored closely because lupus inflammation and illness can affect them.
Doctors usually look at several things together to figure out the cause of anemia with lupus:
• Iron and ferritin (iron storage)
• Kidney function
• Inflammation from lupus activity
• Vitamin B12 or folate levels
• Medication effects
Low albumin can sometimes be related to inflammation, nutrition, or kidney issues, so it’s good that you’re asking your rheumatologist to check more labs.
Lupus can make labs fluctuate, but you’re doing the right thing by tracking them and asking questions. Hopefully the iron and ferritin tests will help give a clearer picture for you. 💜
Glory, up to one-third of lupus patients may be positive for p-ANCA, so it may not be concerning. Please discuss it with your doctor, as it's also associated with granulomatous polyangiitis, another autoimmune disease that tends to affect the. kidneys and lungs.
What does a high positive P-ANCA result mean?
A high positive P-ANCA (perinuclear anti-neutrophil cytoplasmic antibody) test isn't typically associated with lupus diagnosis. The primary antibody test used for lupus is the ANA (antinuclear antibody) test, which looks for antibodies that attack the nucleus of your cells.
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