본문내용
cell anemia chromatosis,
Neoplastic and hepatic disease.
Ferritin
M: 29-37ng/ml
F: pre-menopausal
:5-96ng/ml
post-menopausal
:5-277ng/ml
Hemochromatosis,
Certain neoplastic,
Acute myelogenous
leukemia,
Multiple myeloma
Iron deficiency
Ig A
M:100-490mg/dl
F:85-450mg/dl
Gamma A myeloma,
Autoimmune disease,
Hepatic cirrhosis.
Ataxia telangiectasis,
Agammaglobulinemia,
Hypogammaglobulinemia,
Protein-losing enteropathies
Ig D
0-3mg/dl
IgD multiple myeloma,
Chronic infectious disease
Ig E
20-740ng/ml
Allergic patient,
Parasitic infestations patient
Ig G
800-1750mg/dl
IgG myeloma,
Following hyperimmunization
Autoimmune disease states,
Chronic infections
Congenital and acquired
Hypogammaglobulinemia,
IgA myelomas,
Some malabsorption syndrome,
Extensive protein loss
Ig M
M:50-320mg/dl
F:60-370mg/dl
Parasitic infections,
Hepatitis, Waldenstrom's
macroglobulinemia
Some IgG and IgA myelomas,
Chronic lymphatic leukemia,
Agammaglobulinemias
C3
50-90mg/dl
SLE, 사구체 신장염,
화농성 신장염
C4
10-40mg/dl
11) 세포 면역ㆍ세포화학 검사
검 사
정 상 치
임상적 의의
증 가
감 소
T cell
subtype
T4: 35.4-66.8%
T8: 16.2-34.4%
T4/T8 ratio:
1.08-3.08
Lymphoprolifeative disorder
Chronic Lymphocytic leukemia
Multiple myeloma
Waldenstrom's
macroglobulinemia
Non-Hodgkin's
lymphoma
Hyperspleenism
Bone marrow disease
Sepsis
Malignancy
Malnutrition
화학요법의 부작용
T&B cell
count
Tcell: 80.2-94.4%
Bcell: 9.7-13.6%
Null : 8.4-13.4%
HLA typing
(A, B, C)
HLA typing
(DR)
HLA cross
matching
Transplatation에서 유전상태 진단시
Karyo-typing
Chromosom 배열 확인시
12) 핵의학 검사
검 사
정 상 치
임상적 의의
증 가
감 소
T3-uptake
RIA
30-40%
Hyperthyroidism
Androgens and anabolic
steroids
Hypothyroidism, Pregnancy
Estrogens and antiovulatory drugs
T3 RIA
100-200ng/dl
Pregnancy
Hyperthyroidism
Hypothyroidism
T4 hyroxine RIA
5-12㎍/dl
Hyperthyroidism
Thyroiditis
Cases of elevated
thyroxine-binding
proteins caused by oral
contraceptives
Pregnancy
Primary and pituitary
hypothyroidism
Idiophathic involvement
Cases of diminished
thyroxine-binding
proteins caused by
androgenic and anabolic
steroids
Hypoproteinemia
TSH RIA
5↓uU/ml
Primary
Hypothyroidism
-핵의학검사-
검 사
정 상 치
임상적 의의
증 가
감 소
Rennin RIA
0.2-2.5ng/ml
Renovascular hypertension
Malignant hypertension
Untreated addison's
disease
Primary salt-losing
nephropathy
Low salt diet
Diuretic therapy
Hemorrhage
Frank primary aldosteronism
Increased salt intake
Salt-retaining steroid therapy
Antidiuretic hormone therapy
Blood transfusion
Aldosterone
50-194ng/ml
Primary(Conn's syndrome)
Secondary aldosteronism
Addison's disease
ACTH RIA
80↓ng/ml
Pituitary-dependent
Cushing's syndrome
Ectopic ACTH syndrome
Primary adrenal atrophy
Adrenocortical tumor
Adrenal insufficiency secondary to hypopituitarism
Cortisol
RIA
8AM: 7-25㎍/dl
4PM: 2-9㎍/dl
Stress:infections disease
Surgery, burns, etc.
Pregnancy
Cushing's syndrome
Pancreatitis
Eclampsia
Adrenocortical tumor
Arteriol pituitary hypofunction
Folic acid
4-16ng/ml
Megaloblastic anemia
of infancy and pregnancy
Inadequate diets
Liver disease
Malabsorption syndrome
Severe hemolytic anemia
Neoplastic and hepatic disease.
Ferritin
M: 29-37ng/ml
F: pre-menopausal
:5-96ng/ml
post-menopausal
:5-277ng/ml
Hemochromatosis,
Certain neoplastic,
Acute myelogenous
leukemia,
Multiple myeloma
Iron deficiency
Ig A
M:100-490mg/dl
F:85-450mg/dl
Gamma A myeloma,
Autoimmune disease,
Hepatic cirrhosis.
Ataxia telangiectasis,
Agammaglobulinemia,
Hypogammaglobulinemia,
Protein-losing enteropathies
Ig D
0-3mg/dl
IgD multiple myeloma,
Chronic infectious disease
Ig E
20-740ng/ml
Allergic patient,
Parasitic infestations patient
Ig G
800-1750mg/dl
IgG myeloma,
Following hyperimmunization
Autoimmune disease states,
Chronic infections
Congenital and acquired
Hypogammaglobulinemia,
IgA myelomas,
Some malabsorption syndrome,
Extensive protein loss
Ig M
M:50-320mg/dl
F:60-370mg/dl
Parasitic infections,
Hepatitis, Waldenstrom's
macroglobulinemia
Some IgG and IgA myelomas,
Chronic lymphatic leukemia,
Agammaglobulinemias
C3
50-90mg/dl
SLE, 사구체 신장염,
화농성 신장염
C4
10-40mg/dl
11) 세포 면역ㆍ세포화학 검사
검 사
정 상 치
임상적 의의
증 가
감 소
T cell
subtype
T4: 35.4-66.8%
T8: 16.2-34.4%
T4/T8 ratio:
1.08-3.08
Lymphoprolifeative disorder
Chronic Lymphocytic leukemia
Multiple myeloma
Waldenstrom's
macroglobulinemia
Non-Hodgkin's
lymphoma
Hyperspleenism
Bone marrow disease
Sepsis
Malignancy
Malnutrition
화학요법의 부작용
T&B cell
count
Tcell: 80.2-94.4%
Bcell: 9.7-13.6%
Null : 8.4-13.4%
HLA typing
(A, B, C)
HLA typing
(DR)
HLA cross
matching
Transplatation에서 유전상태 진단시
Karyo-typing
Chromosom 배열 확인시
12) 핵의학 검사
검 사
정 상 치
임상적 의의
증 가
감 소
T3-uptake
RIA
30-40%
Hyperthyroidism
Androgens and anabolic
steroids
Hypothyroidism, Pregnancy
Estrogens and antiovulatory drugs
T3 RIA
100-200ng/dl
Pregnancy
Hyperthyroidism
Hypothyroidism
T4 hyroxine RIA
5-12㎍/dl
Hyperthyroidism
Thyroiditis
Cases of elevated
thyroxine-binding
proteins caused by oral
contraceptives
Pregnancy
Primary and pituitary
hypothyroidism
Idiophathic involvement
Cases of diminished
thyroxine-binding
proteins caused by
androgenic and anabolic
steroids
Hypoproteinemia
TSH RIA
5↓uU/ml
Primary
Hypothyroidism
-핵의학검사-
검 사
정 상 치
임상적 의의
증 가
감 소
Rennin RIA
0.2-2.5ng/ml
Renovascular hypertension
Malignant hypertension
Untreated addison's
disease
Primary salt-losing
nephropathy
Low salt diet
Diuretic therapy
Hemorrhage
Frank primary aldosteronism
Increased salt intake
Salt-retaining steroid therapy
Antidiuretic hormone therapy
Blood transfusion
Aldosterone
50-194ng/ml
Primary(Conn's syndrome)
Secondary aldosteronism
Addison's disease
ACTH RIA
80↓ng/ml
Pituitary-dependent
Cushing's syndrome
Ectopic ACTH syndrome
Primary adrenal atrophy
Adrenocortical tumor
Adrenal insufficiency secondary to hypopituitarism
Cortisol
RIA
8AM: 7-25㎍/dl
4PM: 2-9㎍/dl
Stress:infections disease
Surgery, burns, etc.
Pregnancy
Cushing's syndrome
Pancreatitis
Eclampsia
Adrenocortical tumor
Arteriol pituitary hypofunction
Folic acid
4-16ng/ml
Megaloblastic anemia
of infancy and pregnancy
Inadequate diets
Liver disease
Malabsorption syndrome
Severe hemolytic anemia
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