HomeAnswersHematologybruiseI have noticed bruises on my body and got CBC, and WBCs are elevated. Please help.

What could be the cause of raised WBC count?

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Published At June 10, 2023
Reviewed AtNovember 2, 2023

Patient's Query

Hi doctor,

I want to help you understand my most recent CBC. This past week I went in for a uterine biopsy due to very light spotting between periods. During the exam, my doctor noticed a huge bruise on the back of my thigh that I had no idea was there or how it happened. I had noticed some other slight bruises leading up to this, so I requested a CBC that same day because I was already off work. I mentioned this because the CBC was taken two hours after my biopsy. My WBC is on the higher end of normal, but my neutrophil and immature granulocytes are high. I have read that a high IG % is abnormal and usually a sign of cancer. What can cause a high IG %, and is 2 % considered slightly elevated, or should I be concerned? Please help.

Thanks.

Hi,

Welcome to icliniq.com.

I understand your concern.

There is no evidence of any cancerous process. Your WBCs (white blood cells) are well in a normal range. Neutrophils are relatively increased, which might be related to procedure-related body response. When neutrophils are increased, the immature granulocytes are also increased. In normal individuals, IGs (immunoglobulins) are normal up to 2 %. In reactive body up to 8 % are normal. Reactive body means in which there are infections, medical procedures, physical stress, pregnancy, etc. I have seen even 30 % IGs in normal individuals in my practice nothing to worry about.

I hope this information will help.

Thank you.

Patient's Query

Hi doctor,

Thanks for the reply.

Can you please explain cancer in detail?

Thanks.

Hi,

Welcome back to icliniq.com.

I understand your concern.

The word leukemia means white blood cell cancer in peripheral blood. Leukemia is a relatively old term. Nowadays, it is called hematopoietic and lymphoid neoplasm. A good share of circulating white cells comes from lymphoid tissues such as lymph nodes, spleen, thymus, etc. And the rest of the cells come from bone marrow. Lymphoid tissue is present all over the body, even in the intestine, lungs, liver, etc. The neoplasms of lymphocytes white blood cells are called lymphomas which are rarely present in the blood. They are present in lymphoid tissue. However, they do infiltrate blood and bone marrow at some later stages. There are certain neoplasms arising from bone marrow. They are myeloid leukemia or lymphoid leukemias. They are most of the time present in peripheral blood. In addition, leukemias and lymphoma are not merely the presence of specific abnormal cells. It comprises anemia, leukopenia or leukocytosis, high ESR (erythrocyte sedimentation rate), thrombocytopenia, unexplained fever, weight loss, arthralgias, and bone pain. These are diagnosed using bone marrow biopsy, immunohistochemistry, flow cytometry, radiological surveying, etc. These are treated with chemotherapies selected according to the type of cells involved in lesions. As far as bruising is concerned, the ladies tend to bruise easily, usually. However, get PT (prothrombin time), APTT (activated partial thromboplastin time), and bleeding time tests to evaluate the bruising further. Build up your vitamin B12, folic acid, pyridoxine, vitamin D, iron, zinc, and calcium levels with locally available preparations of these micronutrients.

I hope this information will help.

Thank you.

Patient's Query

Hi doctor,

Thanks for the reply.

The information you provided me is very helpful.

Hi,

Welcome back to icliniq.com.

I understand your concern.

You are welcome.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Mubashir Razzaq Khan
Dr. Mubashir Razzaq Khan

Hematology

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