Help with blood test results please (pics)

[Claw001]

Could someone please help with these results?

I’m not an expert, however what Paediatrician has wrote in his covering letter, seems to conflict with actual results and comments?

I don't know what Creatine is.
Ferritin is like blood iron so that could be slightly low?
Vit D being a bit low was picked up on & a prescription given.
The other result they think could be false, didn't alarm them anyway.
Is that what you think the results all say?

Bloods are a little low in creatinine and iron. Vitamin D is in the lower range but 'insufficient' rather than an absolute deficiency & should be treatable with the supplements.

'Creatinine is a waste product that comes from the normal wear and tear on muscles of the body.Everyone has creatinine in their bloodstream'.

My son was referred for severe fatigue and constant aches and pains all over.

under ‘comments for ferritin’ it clearly states ‘clinical review recommended’

‘Comments for T4 - falsely high results may be observed in patients on biotin therapy or ingesting biotin supplements. I’m not sure what this means?

The vitamin b12 is only just in range, which the consultant doesn't appear to have noticed or think might be of relevance.

As stated the thyroid results are "normal" but they haven't done free t3 which is the active thyroid hormone (and what t4 converts into). The NHS often don't, as they don't think it's needed.

If you had posted results like that on one of the thyroid forums with blood results showing low ferritin, b12, vitamin D and folate, they would be saying you probably had thyroid problems. It might be worth you joining health unlocked thyroid board. There is another one called thyroid patient advocacy. Would you be able to afford a private doctor, not necessarily the sort of thing health insurance would pay for.

OP said paediatrician. How often do under 16s have thyroid issues?

Is your son on biotin therapy, if not you can ignore the FT4 comments. If he is on biotin therapy, then you need to question that result. Look at where his result sits within the acceptable range (figures in far right column) you can see he's nowhere near off the top of the scale for FT4.

Supplement with iron and vit D
Everything else is fine

How old is your DC and what were the blood tests investigating?
Iron and vit D were low, as was creatinine and slightly raised eosinophils.

His iron is low, but haemoglobin is still good so he's not anaemic which would explain tiredness. But yes, it does say 'clinical review' so I'd be speaking to the doctor about that.

My son is 14. Took him to my GP due to severe fatigue and aches and pains all over.

GP did a blood test. I phoned for results, was told retesting in 6 weeks needed due thyroid function. Re-tested in 6 weeks, same result. GP said re-test in 6 months. Told her cannot wait that long, it’s interfering with his life severely ie cannot attend school. School sending him home. Sleeping for abnormally amounts, aches and pains severe etc.

She referred to paed. We saw Paed once, took blood, those were the results. Paed stated ‘all fine, apart from Vit D’ and discharged.

December my son developed a severe skin reaction. Steroids are not controlling it. Ended up in A&E a few days ago, due to it. Urgent referral to Dermatologist has been made. Son still cannot attend school.

Something is not right.

Today asked my GP for blood test results.

Is your son on biotin therapy? no

I can't see anything in the covering letter that conflicts with the results. What do you think is conflicting?

My comments above ferritin for example. Results show below normal limits and comments ‘clinical review is recommended’

Does this not conflict?

The paediatrician has done the clinical review. The other results are not consistent with polycythaemia or chronic blood loss, the paed doesn't need to physically see the child again to exclude these.

His TSH and free T4 are within the normal range though?

What kind of skin reaction, and where? Anything on the face?

Yes, especially on his face

Have they excluded Lupus? Unusual in boys his age, but not unheard of

His TSH and free T4 are within the normal range though? yes TSH on this test is within normal range, it wasn’t previously hence referral to paed and retesting.

T4 it’s more the comments ‘falsely high results may be observed in patient on biotin therapy’ etc my son isn’t on this

Might be worth suggesting a coeliac test. Coeliac can cause low iron (the ferritin), and B12 which is very close to the lower limit, as well as joint pains and skin problems (dermatitis herpetiformis).

The T4 comment will be a standard comment that goes on all reports to alert to the possibility that the value can be artificially low if the patient is on biotin therapy. Since DS isn't, it isn't relevant in this case. There's nothing conflicting about that.

Ferritin is the protein that iron binds to. In itself it does not mean iron deficiency. It is low but to put it into perspective mine only rises to 22/23 post infusion.

Keep going back and ask for another opinion . Sounds very complex . My daughter was diagnosed with a syndrome and in the back of our minds we were worried about the very same thing after doing some reading . Is there anything you think it could be or that your worried about ?