I figured out how to pop your labs into a new window and blow them up so I could see them. I didn't recognize everything, but made some comments below on the items that were elevated that I did recognize:
- Elevation is indicative of a blood clot- which you mentioned you had in the left leg
(Von Willibrans Factor)- elevation is likely related to the clot or general inflammation
- in normal range, but what blood thinner are you on? The target for warfarin is usually 2.5.
Card-AK IgM and glyco-Ak IgM
-(Cardiolipin antibodies and glycoprotien antibodies)- both of these antibodies can cause clotting. They are also often elevated in Lupus and are predictive of a clot. They can also be elevated in response to infection and I see now that your neutrophil count (not just the neutrophil percentage) was elevated, along with your WBC, but I think they are related to the lupus. https://www.hopkinslupus.org/lupus-tests/antiphospholipid-antibodies/
MixCON, dRVVT, and Alpha2 Anti-Plasmin antibodies
- Also elevated in lupus, increases risk for clotting. Seems they were trying to determine if your clot was related to lupus.....
- this is a cardiovascular risk factor and indicator of B12, folate, and methylation status (your low folic acid could explain it)
- general marker for inflammation in the body, with everything going on, nos surprising it is somewhat elevated.
Surprisingly your ANA antibody and ds-DNA antibody didn't show up elevated on this test as you would expect with lupus, I do not know why
(folsaure) was low, this could be the reason your homocysteine is high as you need folic acid and B12 to process homocysteine in the body. Consider taking methylfolate-start at a low dose and work up slowly to make sure you tolerate it.
- these are primarily your antibodies, hard to say specifically why they are low as there is so much going on with your immune system
WBC and neutrophil count are high
- this is typically indicative of a bacterial infection, but needs to be correlated with symptoms, especially since you have a lot going on with your immune system. If you had just started on prednisone or increased your dose, that can also cause a transitory increase in WBC and neutrophils
for about two weeks.
- You mention that your cortisol is low, fluctuating between 1.1-5.4- If you are taking prednisone, it will suppress your own cortisol production and it is expected that you will test low. I think though that you mentioned it was low before the prednisone and part of the reason for taking prednisone was a cortisol replacement.
Thankfully, your liver, kidney, blood sugar, and thyroid look good.
CMV IgG- Titers were quite high, could be a target for antiviral therapy
HSV1- The test indicates that you have antibodies, but doesn't say how high they are. If you can get it, consider getting a quantitative HSV1 antibody test.
HSV2- The test indicates that you have antibodies, but doesn't say how high they are. If you can get it, consider getting a quantitative HSV1 antibody test.
I'm guessing you may know much of what I wrote above, but I hope you found something useful.