Interpret
Here is a clear interpretation of Ms. Rukkiya Kabeer's lab results (57-year-old female, report date 15 June 2026):
Lab Report Interpretation - Ms. Rukkiya Kabeer
Patient Details
- Age/Sex: 57 years / Female
- DOB: 30 April 1969
- Referrer: Al Gharafa Medical Centre
1. Lipid Profile
| Test | Result | Reference | Status |
|---|---|---|---|
| Total Cholesterol | 216.6 mg/dL | Desirable <200 | 🔴 Borderline High |
| HDL Cholesterol | 62.8 mg/dL | Optimum >60 | ✅ Normal/Good |
| LDL Cholesterol | 131.6 mg/dL | Optimal <100 | 🟡 Borderline High |
| VLDL Cholesterol | 22.18 mg/dL | 0-30 | ✅ Normal |
| Non-HDL Cholesterol | 153.8 mg/dL | <140 | 🔴 Elevated |
| Triglycerides | 110.9 mg/dL | Normal <150 | ✅ Normal |
| Total Chol / HDL Ratio | 3.4 | <4.5 | ✅ Normal |
| LDL / HDL Ratio | 2.1 | <3.5 | ✅ Normal |
Key Lipid Findings:
- Total cholesterol is mildly elevated in the borderline-high range.
- LDL is in the borderline-high range (130-159 mg/dL). For a 57-year-old postmenopausal woman, the target is ideally <100 mg/dL (or <130 mg/dL if low cardiovascular risk). This warrants attention.
- Non-HDL cholesterol is elevated above the <140 mg/dL target - this is an important cardiovascular risk marker.
- HDL is good (62.8 mg/dL), which is protective. The cholesterol ratios are reassuring.
- Triglycerides are normal.
2. Glycated Hemoglobin (HbA1c)
| Test | Result | Reference | Status |
|---|---|---|---|
| HbA1c | 5.4% | Normal: 4.6-5.6% | ✅ Normal |
| eAG (estimated avg glucose) | 108 mg/dL | - | ✅ Normal |
Interpretation: Blood sugar control is within normal limits. No evidence of prediabetes or diabetes. This is reassuring.
3. Rheumatoid Factor (Quantitative)
| Test | Result | Reference | Status |
|---|---|---|---|
| Rheumatoid Factor | 31 IU/mL | <14 IU/mL | 🔴 Elevated |
Interpretation: RF is significantly elevated at more than twice the upper limit of normal (31 vs. <14 IU/mL). However, an elevated RF alone does not diagnose rheumatoid arthritis. It can also be seen in:
- Rheumatoid arthritis (RA)
- Sjogren's syndrome
- Other autoimmune conditions
- Chronic infections (hepatitis B/C, tuberculosis)
- Older age (low-level positivity is more common in elderly individuals)
This result must be correlated with clinical symptoms (joint pain, morning stiffness, swelling) and may warrant further testing such as anti-CCP antibodies, ESR, CRP, and a rheumatology referral.
4. CBC Fragment (Partial - visible at top of second image)
| Test | Result | Reference | Status |
|---|---|---|---|
| Absolute Eosinophil Count | 0.4 × 10³/µL | 0.02-0.5 | ✅ Normal |
| Absolute Basophil Count | 0.04 × 10³/µL | 0-0.1 | ✅ Normal |
These differential counts are within normal range.
Summary & Recommendations
| Priority | Finding | Action |
|---|---|---|
| 🔴 High | Elevated Rheumatoid Factor (31 IU/mL) | Correlate with symptoms; consider anti-CCP, ESR, CRP; rheumatology review |
| 🟡 Moderate | LDL 131.6 mg/dL (borderline high) | Dietary modification (reduce saturated fats); reassess in 3-6 months |
| 🟡 Moderate | Non-HDL cholesterol elevated (153.8) | Lifestyle changes; statin therapy if cardiovascular risk is high |
| ✅ Good | HbA1c 5.4% - no diabetes | Continue healthy diet |
| ✅ Good | HDL 62.8 mg/dL - protective | Maintain physical activity |
Overall: The most clinically significant finding is the elevated rheumatoid factor, which needs clinical correlation urgently. The lipid profile shows borderline dyslipidemia that can often be managed with dietary changes initially, though statin therapy may be considered depending on her overall cardiovascular risk profile (including blood pressure, smoking status, and family history). Blood glucose control is excellent.
Disclaimer: This interpretation is for informational purposes only. Please consult the treating physician for clinical decision-making.
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