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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diagnosed With Lupus, Thalassemia Minor, Have Stent In LAD. Have Elevated Leukocyte Esterase 1+, WBC 6-10. Kidney Disorder?

I am a 59 year old, white female. I have been diagnosed with lupus, thalessemia minor, and I have a stent in my LAD. My blood pressure is low to normal and my cholesteriol is normal. I've been feeling tired. My doctor recently took blood and the results are generally normal except I have elevated Leukocyte esterase 1+ and WBC of 6-10. My Creatinine is 1.13 and eGFR Non-Afr American is 53. My Ferritin count is 342. In addition, my Hemoglobin is 10.2, Hematocrit is 32.7, MCV is 71.6. MCH is 22.5, MCHC 31.4 and RDW is 17.1. Some of these results are because of my diagnosed problems. But I am concerned about what I've read about these other tests are they indicators of some kidney disorder?
posted on Sat, 14 Sep 2013
Twitter Mon, 23 Sep 2013 Answered on
Twitter Tue, 24 Sep 2013 Last reviewed on
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Internal Medicine Specialist,  's  Response
Hello madam,
You have been diagnosed with lupus and thallasemia minor . Lupus can affect kidneys and since you have a active urine sediment ie 6 wbc in urine , it is better to undergo a renal biopsy and stage your disease and accordingly take the treatment. The outcome of lupus kidney disease would depend on biopsy findings.
Also you have mild anemia which may be due to thallasemia.kindly get a serum ferritin and tranferrin saturation ie Iron studies to guide your anemia management.
Hope I was of help . Further queries , please get back to me.
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Diagnosed With Lupus, Thalassemia Minor, Have Stent In LAD. Have Elevated Leukocyte Esterase 1+, WBC 6-10. Kidney Disorder?

Hello madam, You have been diagnosed with lupus and thallasemia minor . Lupus can affect kidneys and since you have a active urine sediment ie 6 wbc in urine , it is better to undergo a renal biopsy and stage your disease and accordingly take the treatment. The outcome of lupus kidney disease would depend on biopsy findings. Also you have mild anemia which may be due to thallasemia.kindly get a serum ferritin and tranferrin saturation ie Iron studies to guide your anemia management. Hope I was of help . Further queries , please get back to me.