What Does My Urine Analysis Indicate?

Posted on Fri, 9 May 2014

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Fri, 9 May 2014 Answered on

Thu, 29 May 2014 Last reviewed on

Question : I have a microscopic analysis of: WBC urine test of 11-30, mucus, urine = present, bacteria=few
Urinalysis = leukocyte esterase, urine = 3+
CBC = absolute lymphocytes count of 3.3

These were routine workups for Lupus Like Syndrome. I am feeling no particular symptoms other than fatigue. All other tests were normal. Should I be concerned prior to 5/21 appointment with rheumatologist?

Answered by Dr. Divya Agarwal (1 hour later)

Brief Answer:
does not seem related to lupus

Detailed Answer:
Hi

Thanks for your query.

These reports don't suggest anything very specific to lupus.
It could be a mild urine infection , so if nothing else it should be followed up with a urine culture exam.
If there is a diagnosis of lupus with a positive ANA then these findings may hold some significance else not.
So nothing to worry.

Let me know if you have any doubts.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Divya Agarwal (1 hour later)

I have had positive ANA for Lupus and have been on Plaquenil for 10 years. Most flare ups have remained mild, but the need for prednisone limited to 2 or 3 courses during the year.

Thank you.

Answered by Dr. Divya Agarwal (16 minutes later)

Brief Answer:
Does not look like a renal flare

Detailed Answer:
Hi

You still need to get a culture exam.
Other features of lupus like complement levels need to be looked at.
Generally renal flares come with high protein and RBCs or casts in urine.

Above answer was peer-reviewed by : Dr. Vaishalee Punj