V posledni dobe mam velice zvlastni zdravotni potize s kuzi po celem tele
Dobry den,
V posledni dobe mam velice zvlastni zdravotni potize s kuzi po celem tele, nejsem schopen urcit co to muze zpusobovat a zda se nejedna o nekjakou vaznejsi chorobu. Po celem tele predevsim na zadech, rukou a nohou mam na kuzi pocit jako po spaleni na slunci (samozrejme zadne opalovani neprobehlo) nebo jako po opareni vodou a obcas me ruzne po tele v kuzi pichne, jak kdyz me pichne nekdo jehlou (nepravidelne na ruznych mistech), kazdym pohybem a dotekem je kuze velmi citliva. Kuze me nesvedi, neni viditelna zadna vyrazka, zadne zarudnuti ani jine zmeny na kuzi (viz foto). Tyto zdravotni potize zacali loni v dubnu a problem pretrvaval vice jak mesic v kuse, proto jsem navstivil lekare v Anglii (kde nyni pracuji), ktery mi rekl, ze je to pravdepodobne nejaka alergie na jidlo, bohuzel i pres ruzne diety a doporuceni, at z jidelnicku vyradim mlecne produkty a potraviny bohate na histamin i tak to nepomaha. Behem lonskeho leta se situace uklidnila, ale cele to zacalo znova v zari a problem pretrvava dodnes, ale nyni je to v intervalech kdy dva tydny mam vyse uvedene zdravotni potize s kuzi, pote jeden tyden je vse v poradku a citim se dobre, ale pak se to znova takhle opakuje a stale dokola uz nekolikaty mesic v rade a nema na to zadny vliv strava ani nepomohla vymena sprchoveho gelu za mydlo pro citlivou pokozku, zmena pracich prostredku a zadnou jinou komsetiku nepouzivam, kdyz je mi nejhur tak nepomahaji ani silnejsi leky na alergii; Fexofenadine 120mg tablets (zadne jine leky neuzivam), proto se domnivam, ze se nejedna o zadnou alergii. Deficit vitaminu D, B nebo vapniku nemam, byli mi provodeny krevni testy bez abnormalnich vysledku, moc v poradku, necitim nevolnost, hlava me neboli ani nezvracim. V poslednich tydnech se k tomuto problemu pridala i nespavost, kdy usinam az kolem 2-3 hodiny ranni a obcas se casto budim behem spanku. Muzete mi prosim poradit co muze zdravotni potize s kuzi zpusobovat a jake vysetreni mi doporucujete podstoupit? Myslite si, ze to muze byt signal nejake vaznejsi choroby? Podle krevnich testu funkce ledvin a jater je v poradku. Dekuji za Vasi radu. Prosim o odpoved emailem.
S pozdravem
Jan S
View Test Result
Clinician viewed 27 May 2020
Result type Pathology
Tests Full blood count
Urea and electrolytes
Thyroid function test
Differential white blood cell count
Serum ferritin level
Haemoglobin A1c level
Liver function tests
EGFR (M) / 1.73M2
Anti-tissue transglutaminase level
Filed by
Result Satisfactory
What you need to do No Further Action
Specimen
Specimen Type: Blood
Specimen Reference#: 1
Collected: 27 May 2020
Received: 27 May 2020
Provider Sample ID:
Pathology Investigations
Full blood count
Haemoglobin concentration 150 g/L [130.0 - 180.0]
Total white blood count 4.79 10*9/L [4.0 - 11.0]
Platelet count - observation 256 10*9/L [150.0 - 450.0]
Red blood cell count 5.01 10*12/L [4.2 - 6.5]
Haematocrit 0.462 1/1 [0.4 - 0.54]
Mean cell volume 92.2 fL [84.0 - 102.0]
Mean cell haemoglobin level 29.9 pg [28.0 - 33.0]
Mean cell haemoglobin concentration 325 g/L [300.0 - 350.0]
Urea and electrolytes
Serum sodium level 141 mmol/L [134.0 - 145.0]
Serum potassium level 3.6 mmol/L [3.5 - 5.3]
Serum urea level 5.4 mmol/L [2.9 - 7.5]
Serum creatinine level 72 umol/L [59.0 - 104.0]
Thyroid function test
Serum TSH level 2.3 mu/L [0.5 - 4.4]
Differential white blood cell count
Neutrophil count 2.29 10*9/L [2.0 - 7.5]
Lymphocyte count 1.61 10*9/L [1.0 - 4.0]
Monocyte count - observation 0.47 10*9/L [0.1 - 1.5]
Eosinophil count - observation 0.38 10*9/L [0.04 - 0.4]
Basophil count 0.04 10*9/L [< 0.15]
Serum ferritin level 261 ug/L [25.0 - 350.0]
Haemoglobin A1c level
Haemoglobin A1c level - IFCC standardised 33.0 mmol/mol [20.0 - 41.0]
This test is awaiting UKAS 15189 accreditation.
Interpretation of HbA1c in screening for Diabetes
42-47 mmol/mol - at high risk of developing T2 DM
consider referral to Diabetes Prevention Program
48 mmol/mol and above - Suggestive of T2 DM.
Interpretation of HbA1c in monitoring Information
on targets is available in local Diabetes
guidelines (nottsapc.nhs.uk).
Liver function tests
Serum alkaline phosphatase level 88 u/L [40.0 - 130.0]
Serum alanine aminotransferase level 32 u/L [0.0 - 45.0]
Serum total bilirubin level 10 umol/L [0.0 - 21.0]
Serum albumin level 44 g/L [35.0 - 52.0]
EGFR (M) / 1.73M2
eGFR using creatinine (CKD-EPI) per 1.73 square metres > 90 mL/min [60.0 - 200.0]
eGFR calculated by CKD-Epi formula (mL/min/1.73m2)
For African-Caribbean multiply by 1.159. Not valid
in acute kidney injury, dialysis and pregnancy.
Please use Cockroft-Gault estimate of creatinine
clearance for drug dosing.
Anti-tissue transglutaminase level
TTG ABS (IGA) < 1.9 CU [0.0 - 20.0]
Interpretation:
Negative or equal to 20 CU
Negative results make Coeliac Disease unlikely if
individuals have been on a diet containing
adequate gluten for 6 weeks prior to test. However
if symptoms persist suggest check immunoglobulins
if not done previously, and discuss/refer to
Gastroenterology team (adult or paediatric).
View Test Result
Clinician viewed 12 Jun 2020
Result type Pathology
Tests VITAMIN B12
CALCIUM AND ALBUMIN
Serum folate level
VITAMIN D
Filed by
Result Normal
What you need to do No Further Action
Specimen
Specimen Type: Blood
Specimen Reference#: 1
Collected: 12 Jun 2020
Received: 12 Jun 2020
Provider Sample ID:
Pathology Investigations
VITAMIN B12
Serum vitamin B12 level 573 ng/L [190.0 - 800.0]
CALCIUM AND ALBUMIN
Serum albumin level 49 g/L [35.0 - 52.0]
Calcium adjusted level 2.42 mmol/L [2.2 - 2.6]
Calcium result adjusted for albumin concentration.
Serum folate level
Serum folate level 15.8 ug/L [3.0 - 17.0]
VITAMIN D
Serum total 25-hydroxy vitamin D level 69 nmol/L [50.0 - 200.0]
Specializace: Praktické lékařství pro dospělé Pracoviště: Ambulance praktického lékaře Benátky nad Jizerou
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