NLRatio

[Brychni]

Neutrophil highLymphocytes low

Divide top by bottom and you get NLRatio.

Mine is high at 11

Does anyone else have this?

[StriatedCaracara]

I get this too. I read somewhere that more than 4.78 was high. If I plot a graph of N to L ratio over time the peaks match flares, and the worse the flare the higher the peak.

I mentioned this when I had my local NHS referral that failed. The rheumatologist only had my high ANA, no other immunological criteria met and even ESR not raised.

His response was they did not use N to L ratio.

I was flabbergasted as there was an obvious pattern.

I think some drug treatments alter levels too, one way or the other, for one or both, so for those being so treated, this can't be used so easily as a measure.

My argument would be in cases where this was not the case it could be very useful.

Here is a post I did on Lupus UK forum with links maybe supporting its consideration.

healthunlocked.com/lupusuk/...

I guess some doctors do use this measure informally.