Author Archives: د.حسام أبو فرسخ

Carnitine Blood Level, an Important, But Forgotten Lab Test

Carnitine is a naturally occurring amino acid derivative. Serum Carnitine Deficiency (SCD) incidence is 1:37,000 newborns. Carnitine plays an essential role in the transfer of long-chain fatty acids into the mitochondria for beta-oxidation. Age at presentation of SCD is usually ranging from 1 month to 7 years, but cases can occur earlier or later (you… Read More: Carnitine Blood Level, an Important, But Forgotten Lab Test »

(CD4/CD8 ratio in bronchioalveolar lavage (by immunohistochemistry

Introduction: Lymphocytosis in BAL specimen can be seen in variety of interstitial lung diseases, and can give indication of the causative of interstitial lung infiltrate. Further, indication of the cause of the disease can be sorted out by performing the CD4/CD8 ratio :Clinical use :Diseases this test is of clinical relevance (Increased CD4/CD8 ratio: Sarcoidosis(… Read More: (CD4/CD8 ratio in bronchioalveolar lavage (by immunohistochemistry »

Chromogranin A, a new and important tumor marker

Chromogranin A: belongs to a family of secretory proteins that are present in dense-core vesicles of neuroendocrine cells. Owing to its widespread distribution in neuroendocrine tissues, it can be used as an excellent serum marker of neuroendocrine activity because it is co-released with the peptide hormone content of the secretory granules. It has high specificity… Read More: Chromogranin A, a new and important tumor marker »

Cytogenetics of leukemias

Introduction: Cytogenetics of leukemia is extremely important today for the best diagnosis, treatment and prognosis of leukemia patients :Examples :(Acute Lymphoblastic Leukemia (ALL (Prognosis is best in Hyperdiploid, then t(12;21), then t(1;19- Patients who have t(12,21) respond very well to chemotherapy- Patients with t(1,19) have poor prognosis and require bone marrow transplant- (Adult ALL :… Read More: Cytogenetics of leukemias »

Degenerative Brain Disease Panel

Introduction : patient with degenerative brain disease may present with brain atrophy, mental retardation (usually progressive), seizures and musculoskeletal disorders The causes of these problems are wide and should involve a wide battery of tests. The panel we suggested below should cover the most common disorders of degenerative brain disease     (Mucopolysaccharide metabolite test (urine… Read More: Degenerative Brain Disease Panel »