.
Name : Mr. MRASHISH
Lab No. : 172530600 Age : 42 Years
Ref By : SELF Gender : Male
Collected : 30/5/2023 7:38:00AM Reported : 30/5/2023 7:45:45PM
A/c Status : P Report Status : Final
Collected at : PSC SAPPHIRE HOME VISIT Processed at : LPL-NATIONAL REFERENCE LAB
G-54 & 55, GF, COMMERCIAL PROJECT, THE National Reference laboratory, Block E,
SAPPHIRE, SECTOR-49 Sector 18, Rohini, New Delhi -110085
GURGAON
Test Report
Test Name Results Units Bio. Ref. Interval
HERPES SIMPLEX VIRUS (HSV) 1 + 2 ANTIBODIES PANEL, IgG & IgM, SERUM
(CLIA)
Herpes simplex virus 1+2, IgG 0.84 Index <0.90
Herpes simplex virus 1+2, IgM <0.500 Index <0.90
Interpretation
----------------------|----------------------------------
| HSV 1 + 2 IgG RESULT | HSV 1 + 2 IgM RESULT | REMARKS |
| IN INDEX | IN INDEX | |
|----------------------|----------------------------------|
| <0.90 | <0.90 | Negative |
|----------------------|----------------------------------|
| 0.90-<1.10 | 0.90-<1.10 | Equivocal |
|----------------------|----------------------------------|
| ≥1.10 | ≥1.10 | Positive |
----------------------|----------------------------------
HSV 1 + 2 IgG
Note
1. This assay is used for qualitative detection of specific IgG antibodies to Herpes Simplex virus (1+2) in
serum samples only. However in interpreting CSF HSV IgG levels it should be done in conjunction with
serum IgG levels and ratio of 4:1 is considered significant indicating HSV encephalitis.
2. Positive result indicates past infection with Herpes Simplex virus or administration of HSV
immunoglobulins. Pregnant females with positive HSV specific IgG antibodies are considered to be
immune and hence risk of transmission of infection to fetus is minimal.
3. Equivocal results should be re-tested in 10-14 days.
4. Negative result indicates person has not been exposed to Herpes Simplex virus in the past. Patients
with negative results in suspected disease should be re-tested after 10-14 days. False negative results
can be due to immunosuppression or due to low/undetectable level of IgG antibodies.
5. HSV serology cannot distinguish genital from nongenital infections.
6. The result should be interpreted in conjunction with clinical finding and other diagnostic tests.
7. The magnitude of the measured result is not indicative of the amount of antibody present.
HSV 1 + 2 IgM
Note
1. This assay is used for qualitative detection of specific IgM antibodies to Herpes Simplex virus (1&2) in
serum samples only.
2. Positive result for Herpes Simplex virus IgM may indicate acute infection, reinfection or reactivation of
latent virus. Persistence of low level HSV IgM antibodies following post infection over a long period is
not uncommon. False positive reaction may occur due to high levels of rheumatoid factor or during the
*172530600*
Page 1 of 6
.
Name : Mr. MRASHISH
Lab No. : 172530600 Age : 42 Years
Ref By : SELF Gender : Male
Collected : 30/5/2023 7:38:00AM Reported : 30/5/2023 7:45:45PM
A/c Status : P Report Status : Final
Collected at : PSC SAPPHIRE HOME VISIT Processed at : LPL-NATIONAL REFERENCE LAB
G-54 & 55, GF, COMMERCIAL PROJECT, THE National Reference laboratory, Block E,
SAPPHIRE, SECTOR-49 Sector 18, Rohini, New Delhi -110085
GURGAON
Test Report
Test Name Results Units Bio. Ref. Interval
course of other viral illnesses due to cross reactivity.
3. An equivocal result requires repeat testing in 10-14 days.
4. Negative result for Herpes Simplex virus IgM indicates no Herpes Simplex virus infection. False
negative reaction may be due to processing of sample collected early in the course of disease or
absence of immune response.
5. HSV serology cannot distinguish genital from nongenital infections.
6. The result should be interpreted in conjunction with clinical finding and other diagnostic tests.
7. The magnitude of the measured result is not indicative of the amount of antibody present.
Comment
Herpes simplex virus (HSV) types 1 and 2 are members of the Herpesviridae family, and produce infections
that may range from mild stomatitis to disseminated and fatal disease. Infections with HSV types 1 and 2 can
differ significantly in their clinical manifestations and severity which can range from gingivostomatitis, keratitis,
encephalitis, vesicular skin eruptions, aseptic meningitis, neonatal herpes, genital tract infections, and
disseminated primary infection.
HSV type 2 primarily causes urogenital infections and is found almost exclusively in adults. HSV type 1 is
closely associated with orolabial infection, although genital infection with this virus can be common in certain
populations. Once infection occurs, HSV persists in a latent state in sensory ganglia from where it may
re-emerge to cause periodic recurrence of infection induced by many stimuli, which may or may not result in
clinical lesions.
Asymptomatic infections may occur in healthy individuals and during pregnancy. Once infection occurs, HSV
persists in a latent state in sensory ganglia from where it may re -emerge to cause periodic recurrence of
infection induced by many stimuli, which may or may not result in clinical lesions. In immunocompromised
patients the disease is more severe and they are more likely to have frequent HSV recurrences. This suggests
that serum antibody and virus-specific cell-mediated immunity contribute to recovery. Pregnant women who
develop genital herpes are two to three times more likely to have spontaneous abortions or deliver a premature
infant than are pregnant non-infected women. Infection in neonates occur during passage through birth canal
and may result in neurological damage.
---------------|-------------------------------------------------------------------------
| HSV (1+2) IgM | HSV (1+2) | Remarks |
| | IgG | |
|---------------|------------|------------------------------------------------------------|
| Negative | Negative | No infection or very early infection; no previous exposure |
|---------------|------------|------------------------------------------------------------|
| Positive | Negative | Acute infection |
|---------------|------------|------------------------------------------------------------|
| Positive | Positive | Acute infection; Chronic infection; could |
| | | indicate re-activation; IgM may be positive |
| | | for several months after the infection resolves. |
|---------------|------------|------------------------------------------------------------|
| Negative | Positive | Past infection |
-----------------------------------------------------------------------------------------
*172530600*
Page 2 of 6
.
Name : Mr. MRASHISH
Lab No. : 172530600 Age : 42 Years
Ref By : SELF Gender : Male
Collected : 30/5/2023 7:38:00AM Reported : 30/5/2023 7:45:45PM
A/c Status : P Report Status : Final
Collected at : PSC SAPPHIRE HOME VISIT Processed at : LPL-NATIONAL REFERENCE LAB
G-54 & 55, GF, COMMERCIAL PROJECT, THE National Reference laboratory, Block E,
SAPPHIRE, SECTOR-49 Sector 18, Rohini, New Delhi -110085
GURGAON
Test Report
Test Name Results Units Bio. Ref. Interval
Dr Shalabh Malik
MD, Microbiology
Technical Director - Microbiology,
Infectious Disease Molecular &
Serology, Clinical Pathology
NRL - Dr Lal PathLabs Ltd
*172530600*
Page 3 of 6
.
Name : Mr. MRASHISH
Lab No. : 172530600 Age : 42 Years
Ref By : SELF Gender : Male
Collected : 30/5/2023 7:38:00AM Reported : 30/5/2023 7:45:45PM
A/c Status : P Report Status : Final
Collected at : PSC SAPPHIRE HOME VISIT Processed at : LPL-GURGAON
G-54 & 55, GF, COMMERCIAL PROJECT, THE C1/B, Clear View Building Old DLF Colony,
SAPPHIRE, SECTOR-49 Sector-14 Gurgaon, Haryana-122001
GURGAON
Test Report
Test Name Results Units Bio. Ref. Interval
HbA1c (GLYCOSYLATED HEMOGLOBIN), BLOOD
(HPLC, NGSP certified)
HbA1c 5.3 % 4.00 - 5.60
Estimated average glucose (eAG) 105 mg/dL
Interpretation
HbA1c result is suggestive of non diabetic adults (>=18 years)/ well controlled Diabetes in a known Diabetic
Interpretation as per American Diabetes Association (ADA) Guidelines
------------------------------------------------------------------------------------------
| Reference Group | Non diabetic | At risk | Diagnosing | Therapeutic goals |
| | adults >=18 years | (Prediabetes) | Diabetes | for glycemic control |
| ----------------|-------------------|---------------|-------------|----------------------|
| HbA1c in % | 4.0-5.6 | 5.7-6.4 | >= 6.5 | <7.0 |
------------------------------------------------------------------------------------------
Note: Presence of Hemoglobin variants and/or conditions that affect red cell turnover must be considered,
particularly when the HbA1C result does not correlate with the patient’s blood glucose levels.
---------------------------------------------------------------------------------
| FACTORS THAT INTERFERE WITH HbA1C | FACTORS THAT AFFECT INTERPRETATION |
| MEASUREMENT | OF HBA1C RESULTS |
|--------------------------------------|------------------------------------------|
| Hemoglobin variants,elevated fetal | Any condition that shortens erythrocyte |
| hemoglobin (HbF) and chemically | survival or decreases mean erythrocyte |
| modified derivatives of hemoglobin | age (e.g.,recovery from acute blood loss,|
| (e.g. carbamylated Hb in patients | hemolytic anemia, HbSS, HbCC, and HbSC) |
| with renal failure) can affect the | will falsely lower HbA1c test results |
| accuracy of HbA1c measurements | regardless of the assay method used.Iron |
| | deficiency anemia is associated with |
| | higher HbA1c |
---------------------------------------------------------------------------------
*172530600* Page 4 of 6
.
Name : Mr. MRASHISH
Lab No. : 172530600 Age : 42 Years
Ref By : SELF Gender : Male
Collected : 30/5/2023 7:38:00AM Reported : 30/5/2023 7:45:45PM
A/c Status : P Report Status : Final
Collected at : PSC SAPPHIRE HOME VISIT Processed at : LPL-GURGAON
G-54 & 55, GF, COMMERCIAL PROJECT, THE C1/B, Clear View Building Old DLF Colony,
SAPPHIRE, SECTOR-49 Sector-14 Gurgaon, Haryana-122001
GURGAON
Test Report
Test Name Results Units Bio. Ref. Interval
GLUCOSE, FASTING (F) AND POST MEAL, PLASMA
(Hexokinase)
Glucose Fasting 98.20 mg/dL 70.00 - 100.00
Glucose (PP) 95.00 mg/dL 70.00 - 140.00
Result Rechecked,
Please Correlate Clinically.
Note
1. The diagnosis of Diabetes requires a fasting plasma glucose of > or = 126 mg/dL and/or a random / 2
hr post glucose value of > or = 200 mg/dL on at least 2 occasions
2. Very low glucose levels cause severe CNS dysfunction
3. Very high glucose levels (>450 mg/dL in adults) may result in Diabetic Ketoacidosis & is considered
critical
Interpretation
---------------------------------------------------------------------------
| Status | Fasting plasma glucose | PP plasma glucose |
| | in mg/dL | in mg/dL |
|---------------------------|------------------------|----------------------|
| Normal | 70-100 | 70-140 |
|---------------------------|------------------------|----------------------|
| Impaired fasting glucose | 101-125 | 70-140 |
|---------------------------|------------------------|----------------------|
| Impaired glucose tolerance| 70-100 | 141-199 |
|---------------------------|------------------------|----------------------|
| Pre-Diabetes | 101-125 | 141-199 |
|---------------------------|------------------------|----------------------|
| Diabetes mellitus | >126 | >200 |
---------------------------------------------------------------------------
Comments
Conditions which can lead to lower postprandial glucose levels as compared to fasting glucose are excessive
insulin release, rapid gastric emptying & brisk glucose absorption.
Probable causes:
· Early Type II Diabetes / Glucose intolerance
· Drugs like Salicylates, Beta blockers, Pentamidine etc.
*172530600*
Page 5 of 6
.
Name : Mr. MRASHISH
Lab No. : 172530600 Age : 42 Years
Ref By : SELF Gender : Male
Collected : 30/5/2023 7:38:00AM Reported : 30/5/2023 7:45:45PM
A/c Status : P Report Status : Final
Collected at : PSC SAPPHIRE HOME VISIT Processed at : LPL-GURGAON
G-54 & 55, GF, COMMERCIAL PROJECT, THE C1/B, Clear View Building Old DLF Colony,
SAPPHIRE, SECTOR-49 Sector-14 Gurgaon, Haryana-122001
GURGAON
Test Report
Test Name Results Units Bio. Ref. Interval
· Alcohol
· Dietary - Intake of excessive carbohydrates and foods with high glycemic index
· Exercise in between samples
· Family history of Diabetes
· Idiopathic
· Partial/ Total Gastrectomy
Dr Rachna Malik
MD, Pathology
Consultant Pathologist
Dr Lal PathLabs Ltd
-------------------------------End of report --------------------------------
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IMPORTANT INSTRUCTIONS
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delivery may be delayed due to unforeseen circumstances. Inconvenience is regretted .ŸCertain tests may require further testing at additional cost
for derivation of exact value. Kindly submit request within 72 hours post reporting.ŸTest results may show interlaboratory variations .ŸThe
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*172530600*
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