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Patient Report - Rheumatology Panel

Comprehensive Autoimmune, Infectious Disease & CBC Panel

Patient
Tyler Bishop
Date Collected
11/18/2024
Total Tests
48 Tests
DOB
05/26/1987
Age / Sex
37 / Male
Fasting
Yes
Labcorp
ALERT: AST and ALT were significantly elevated on this date (62 and 95 IU/L respectively). These values normalized by July 2025 - see follow-up reports.
Liver Function Panel - ALERT VALUES
Test Result Flag Units Reference Interval
AST (SGOT) 62 HIGH IU/L 0-40
ALT (SGPT) 95 HIGH IU/L 0-44
Alkaline Phosphatase 79 Normal IU/L 44-121
Bilirubin, Total 1.1 Normal mg/dL 0.0-1.2
Albumin 4.7 Normal g/dL 4.1-5.1
Total Protein 6.6 Normal g/dL 6.0-8.5
Resolution: Liver enzymes dramatically improved by July 2025 (AST 31, ALT 30) and fully normalized by January 2026 (AST 26, ALT 25). Likely cause: temporary inflammation, possible viral hepatitis or medication reaction.
Infectious Disease Screening
Test Result Status Reference
HBsAg (Hepatitis B Surface Antigen) Negative Normal Negative
HCV Ab (Hepatitis C Antibody) Non Reactive Normal Non Reactive
Hepatitis B Core Ab, Total Negative Normal Negative
Hepatitis B Surf Ab Quant 34,415 mIU/mL Immune >10 (Immunity)
QuantiFERON-TB Gold Plus Negative Normal Negative
Summary: No active hepatitis B or C infection. Strong Hepatitis B immunity from vaccination (34,415 mIU/mL - very high protective titer). TB screening negative.
Autoimmune Markers
Test Result Status Reference
Rheumatoid Factor (RF) <10.0 IU/mL Negative <14.0
Anti-CCP Antibody <20 Units Negative <20
Antinuclear Antibody (ANA) Negative Negative Negative
Sjogren's Anti-SS-A <0.2 AI Negative 0.0-0.9
Sjogren's Anti-SS-B <0.2 AI Negative 0.0-0.9
Smith Antibodies <0.2 AI Negative 0.0-0.9
Anti-dsDNA Antibodies <1 IU/mL Negative <5 Negative
Anti-U1 RNP Antibody <20 Units Negative <20
Anti-DFS70 Antibody <20 Units Negative <20
HLA-B27 Negative Negative Negative
Celiac Disease (tTG IgA) <2 U/mL Negative 0-3
Summary: All autoimmune markers negative. No evidence of rheumatoid arthritis (RF/Anti-CCP negative), lupus (ANA/dsDNA negative), Sjogren's syndrome, or other connective tissue diseases. HLA-B27 negative rules out increased risk for ankylosing spondylitis. No celiac disease.
Complement Levels
Test Result Status Units Reference
Complement C3, Serum 93 Normal mg/dL 82-167
Complement C4, Serum 15 Normal mg/dL 12-38
Complete Blood Count (CBC)
Test Result Status Units Reference
WBC 4.8 Normal x10E3/uL 3.4-10.8
RBC 4.46 Normal x10E6/uL 4.14-5.80
Hemoglobin 13.5 Normal g/dL 13.0-17.7
Hematocrit 40.2 Normal % 37.5-51.0
Platelets 288 Normal x10E3/uL 150-450

Patient Details

Bishop, Tyler

3434 VOYAGER CIR, SAN DIEGO, CA, 92130

DOB: 05/26/1987 | Age: 37 | Sex: Male

Test Summary

Total Tests: 48

Date: 11/18/2024

Key Finding: Elevated AST/ALT (now resolved)