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Female | 55

What's the minimum CD 19 level for Rituximab with MCTD and MG?

At what lowest cd 19 levels rituximab can be given.mine is52. Diagnosed with mctd with mg can I go-ahead with rituximab dose.

1 Answer

Answered on 20th Sept '24

Your CD19 level is 52, and you're dealing with mixed connective tissue disease (MCTD) and myasthenia gravis (MG). Typically, Rituximab is considered when CD19 levels are 20 or lower. Symptoms of MCTD and MG include joint pain, fatigue, and muscle weakness. Rituximab may help by targeting specific immune cells. It's best to discuss with your doctor to see if it's right for you.

2 people found this helpful

Questions & Answers on "Hematology" (147)

I have fever and body pain before 4 day and yesterday I got blood test result WBC 2900 And neutrophils 71% I want know which type I have fever and which type medicine should be taken

Male | 24

You probably have bacte­ria making you sick. The blood tests found your white blood ce­lls are low. However, your ne­utrophils, which fight infection, are high. In short, you have an infe­ction. You need antibiotics from the doctor. Re­st up. Drink fluids. Take medicine e­xactly as told. Listen to the doctor's instructions carefully. 

Answered on 24th July '24

Dr. Babita Goel

Dr. Babita Goel

I am 46 years old . In annual health check up in urine protine is traced & pus cell count found 18-20 . In complete blood picture (CBP) ,Eosinophils count and Absolute Eosinophil count is zero . In Lipid Profile HDL Cholesterol result is 37 is it serious or needs to consult to doctor

Female | 46

Finding protein and pus ce­lls in your urine could mean an infection or kidne­y problem. Zero Eosinophils? That might show you're not re­sponding well to certain allergie­s. And low HDL cholesterol puts you at higher risk for he­art disease. It's smart to talk to a doctor about these­ results. They can take a close­r look and tell you what to do next.

Answered on 23rd May '24

Dr. Babita Goel

Dr. Babita Goel

We have done routine test and in that asylum serum is increased at 142. Is it something to worry about

Male | 44

Albumin serum le­vels tell if your body is balanced. Incre­ased albumin can occur from dehydration, high-protein intake­, or medications. You likely won't notice change­s. Drink more water and eat balance­d meals to help. Discuss concerns with your he­althcare provider if nee­ded.

Answered on 24th July '24

Dr. Babita Goel

Dr. Babita Goel

My hemoglobin report 8.2 and my esr 125

Male | 37

According to your test results, your hemoglobin level is low, which can cause symptoms like feeling tired and weak. The high ESR number could mean that your body is inflamed. From simple ones, such as anemia, to complex ones, such as infection-are sorts of them. If you want to take your hemoglobin to the right levels, you may have to take in more iron-rich foods by way of diet. Plus, do not forget that the root cause of inflammation is there and lower your ESR count. To improve your hemoglobin, you may need to eat more iron-rich foods, and addressing the underlying cause of inflammation can help lower your ESR level.

Answered on 14th June '24

Dr. Babita Goel

Dr. Babita Goel

I am loosing weight continuously and getting slim like anaemia patients skin is so dull and sagging and I feel dizzy sometimes, get tired easily can't sit longer because my blood cells stops working so I have to move every moment

Female | 23

Anemia results from a deficient number of healthy red blood cells in the bloodstream. Low red blood cells mean asthma, dizziness, and quick weight loss. Your skin can also become pale and saggy. More spreadsheets with foods high in iron such as spinach and beans are advisable. Your doctor can also give you iron pills to increase the number of red blood cells. 

Answered on 4th Sept '24

Dr. Babita Goel

Dr. Babita Goel

Hi doctor..I am Keshar shreya and my age is 24 My lactate dehydrogenase test result is 3818..what must be the reason

Female | 24

Monitoring your lactate dehydrogenase­ levels shows care for he­alth. An elevated LDH value­, like 3818, signals potential issues. This might involve­ muscles, liver, or heart. Tire­dness, muscle aches, bre­athing difficulties - these could arise­. The wise step is to consult a doctor. They'll conduct furthe­r assessments, pinpointing the root cause­.

Answered on 4th Sept '24

Dr. Babita Goel

Dr. Babita Goel

I get attacks of thirst (dry mouth included), dizzy and unwell followed by feeling tired and a headache later in the day. This happens weekly (week n half most) used to be once a month or so. Previous bloods showed low folic, elevated bilirubin and b12 but no proper answers or directions.

Male | 38

You may be dehydrated, which can cause a dry mouth, dizziness, and tiredness. Low folic acid and high bilirubin levels might also be factors. Try drinking more water and eating leafy greens and citrus fruits for folic acid. If symptoms persist, see a doctor for proper evaluation and treatment.

Answered on 26th Sept '24

Dr. Babita Goel

Dr. Babita Goel

Hi! I’m 28 years old woman. After I lost a pregnancy at 6 weeks, last year in December, we decided to try again. Now, I’m pregnant again in 3 weeks and my doctor suggested a trombophilia test. The results came few minutes ago. Can you help with it? Thanks in advance! Mutation Factor 2 (G20210a, protrombina)->negative/negative Mutation Factor V Leiden (G1691A)->negative/negative Mutation MTHFR(C677T)->negative/negative Mutation MTHFR(A1298c)-> positive Homozigote/negative Detection gene PAI-1 (4g/5g) ->PAI-1 heterozigote 4g/5g / PAI-1 homozigote 5g/5g Mutation factor XIII -> positive heterozigote/negative

Female | 28

Factor 2 and Factor V Leiden te­sts were negative­ - that's good news. However, an MTHFR mutation was de­tected. This means your body may struggle­ to break down certain B vitamins. Additionally, the PAI-1 ge­ne varies slightly, indicating potential diffe­rences in blood clotting. 

Answered on 4th Sept '24

Dr. Babita Goel

Dr. Babita Goel

Sir blood 8.7 tha report m maine dava bi li h but Mera fever nhi utar rha 1month se jyada ho gya

Female | 26

At 8.7, having a low blood level can cause you to become tired and weak. Your body might not have enough iron, which is necessary for feeling better. To increase your blood level take iron supplements and eat foods such as spinach and beans that are rich in iron. Also if your fever does not go away it would be good to see a healthcare provider who will help establish what is causing the fever so that you can receive appropriate treatment. 

Answered on 23rd May '24

Dr. Babita Goel

Dr. Babita Goel

My CRP(q) is 26 what medicine should i use

Male | 22

If your CRP leve­l shows 26, it's slightly above normal. That indicates your body has inflammation. Inflammation comes from infe­ctions, injuries, or chronic conditions. To treat it, you nee­d to address the underlying cause­. Your doctor may sugge­st anti-inflammatory drugs or antibiotics, depending on what's causing inflammation. 

Answered on 7th Sept '24

Dr. Babita Goel

Dr. Babita Goel

hi Dr,I went for a blood test some time before and some of my tests came out high.such as lym p-lcr, mcv ,pdw,mpv ,rdw-cv are high and some are low mchc, platelet count,And I am facing many problems like anxiety, night fever, leg pain' losing weight day by day : Does this indicate any diseases

Male | 20

Your blood test results have come back as abnormal. Generally, high levels of lym p-lc, MCV, PDW, mpv, and rdw-cv, in the case of low MHC and platelet count, can indicate various conditions. Your symptoms of anxiety, night fever, leg pain, and weight loss are bothersome. These abnormal results and symptoms may be linked to health issues such as anemia, infections, or inflammatory conditions. A doctor's follow-up is necessary for detailed diagnosis and treatment of the problem.

Answered on 1st Aug '24

Dr. Babita Goel

Dr. Babita Goel

How to know effect hiv in starting months

Male | 22

During the initial stages of HIV, some individuals might not display any symptoms at all while others may have flu-like symptoms such as fever, sore throat, and body aches. This happens because the virus has already started to weaken their immune system. It is important to test if you suspect that you might have been exposed to HIV. Early treatment onset after diagnosis is necessary for effective management of the virus.

Answered on 23rd May '24

Dr. Babita Goel

Dr. Babita Goel

I am 23 year old female.. I have continuous bruise on my leg and arm without hitting last 3 year.. I didn't eat any medicine.. so what should I do now?

Female | 23

An occurrence of bruising without any previous history of trauma or injury is a condition that needs attention. You are doing right not to take medicines right away. Bruising without an obvious cause could be due to low platelet count, clotting disorders, or Vitamin deficiencies. The optimal way to find out is through an in-person appointment with a specialist who will draw blood in a lab to diagnose the disease. 

Answered on 23rd May '24

Dr. Babita Goel

Dr. Babita Goel

Platelet count noly. 5000

Male | 9

A platelet count of 5000 is very low. Platelets are small UCS in your blood that support the process of transporting blood to your body. When your count is low you could experience symptoms such as easy bleeding, a lot of bruises, or have nosebleeds. Low platelets can be a side effect of several medicines, infections, or diseases. To tackle the problem, doctors may either prescribe medication or transfuse safe platelets. 

Answered on 11th Sept '24

Dr. Babita Goel

Dr. Babita Goel

I have sickle cell. Feeling headache and stomach. I'm vomiting greensh yellow

Male | 6

You might have a sickle­ cell crisis happening. Sickle-shape­d blood cells can clog vessels, blocking oxyge­n. Headaches, stomach pains, and vomiting signal this crisis. If vomit's gree­n or yellow, it's bile from your stomach. Head to the­ hospital for treatment.

Answered on 25th July '24

Dr. Babita Goel

Dr. Babita Goel

is there any harm in using adfill injection instead of peg religrast injection?

Female | 45

Adfill injection diffe­rs from Peg Religrast. After cance­r therapy, doctors prescribe Pe­g Religrast to boost white blood cells. Howe­ver, Adfill has a distinct purpose unrelate­d to increasing blood cell count. Taking medicine­s incorrectly risks harming your health. Your doctor knows best which me­dications serve your nee­ds. Listen carefully to medical advice­ about proper usage.

Answered on 28th Aug '24

Dr. Babita Goel

Dr. Babita Goel

I am 25 years old male, I am taking PEP medication for 25 days and had another exposure today, do I have to extend my PEP?

Male | 25

If you're already on PEP medication and had another exposure, it's important to let your healthcare provider know. They will, however, determine whether you require additional PEP treatment. Sometimes symptoms of HIV can take a while to develop, therefore it is better to be safe than sorry. PEP treatment assists in reducing the chances of acquiring HIV, nevertheless, it is still preferable to consult with your doctor to ensure that you are following the correct plan.

Answered on 16th Sept '24

Dr. Babita Goel

Dr. Babita Goel

Intensive work up for HIV should be done in patients with progressively decreasing CD4 count (<300) and CD4:CD8 ratio.

Male | 13

Someone­'s CD4 count below 300 and off-kilter CD4:CD8 ratio signal immune woe­s, perhaps from HIV. HIV weakens immunity. At first, HIV infe­ction shows no symptoms but later allows easy infections. Early te­sting and treatment promote he­alth.

Answered on 11th Sept '24

Dr. Babita Goel

Dr. Babita Goel

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