Chronic Myeloid Leukemia

Chronic myeloid leukemia (CML) is a slow progressive blood cancer. The symptoms are fast bleeding, fatigue, fever, weight loss, loss of appetite, pale skin, and night sweats. Targeted drugs (Imatinib, Dasatinib), blood stem cell transplant, chemotherapy, and biological therapy are used in the treatment.

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I am under treatment for chronic myeloid leukemia. Please give your opinion on my report.

Query: Hello doctor, I need an opinion on BCR-ABL quantitative report. I am on Imatinib for chronic myeloid leukemia.  Read Full »


Dr. Parth R Goswami

Family Physician, General Practitioner, Hematologist, Pathologist

Answer: Hello, Welcome to icliniq.com. There are no abnormal premature cells in CBC in the attached report (attachment removed to protect patient identity). So I presume that the hematological response is very good. However, I suggest further investigating the peripheral smear examination report to ...  Read Full »

Is skin whitening side effect of Gleevec permanent?

Query: Hi doctor, I have CML-CP. I am on Gleevec for the last one year. My query is about the skin whitening as it has turned too white. Will this side effect go away?  Read Full »


Dr. Prasad Eswaran

Hematologist, Medical Oncologist, Pain Medicine Physician, Radiotherapist

Answer: Hi, Welcome to icliniq.com. Skin whitening is technically called hypopigmentation. This is the usual side effect of Gleevec (Imatinib) and usually harmless. Usually, it is reversible once the drug is stopped. However, evidences for stopping the drug are limited and no consensus exists on drug cessat...  Read Full »

Does high mean platelet volume indicate a type of blood cancer?

Query: Hello doctor, I just had my routine medical check-up. And I got my CBC report. My platelet count is 210000 and in range but my MPV (mean platelet volume) is 12.8. Is it anything to really worry about?  Read Full »


Dr. Parth R Goswami

Family Physician, General Practitioner, Hematologist, Pathologist

Answer: Hello, Welcome to icliniq.com. You need not to worry about your platelet count and MPV. In your attached report, total WBC (white blood cells) count is borderline low and lymphocyte count is borderline high. So it could be a temporary viral infection. You can repeat your CBC (complete blood count...  Read Full »

Why would I be BCR-ABL positive and Philadelphia chromosome negative?

Query: Hello doctor, Can you please explain why I would have the gene and not the chromosome? Ph-negative, BCR-ABL-positive CML. The labs pointed to this. I had bone marrow aspiration and biopsy. I saw the doctor again. From all the labs, it looks like there is CD4 and CD8 elevated ratio 16.5, 8 % NK...  Read Full »


Dr. Smrita Singh

Pathologist, Family Physician, General Practitioner, Hematologist

Answer: Hello, Welcome to icliniq.com. Chronic myeloid leukemia (CML) is a hematopoietic disorder, almost always characterized by the presence of the Philadelphia chromosome (Ph), usually due to t(9;22)(q34;q11) or its variants. The Ph results in the formation of the BCR/ABL1 fusion gene, which ...  Read Full »

Do I really have chronic myeloid leukemia?

Query: Hello doctor, I am 18 years old and I got told that I had chronic myeloid leukemia. Do I seriously have it? Or what do I really have? Blood test: high basophils and low hemoglobin. My symptoms are weight loss, anemia, dizziness and pale skin. Urine: leukocytes 1 to 2. And, I have a ball right under...  Read Full »


Dr. Rahul Rathee

General Medicine Physician, Internal Medicine Physician

Answer: Hello, Welcome to icliniq.com. Well, CML (chronic myeloid leukemia) is a treatable blood cancer. The diagnosis of CML is suspected by a peripheral blood examination in which the number of basophils and eosinophils is highly raised and urine examination has no role in its diagnosis. So, on the basi...  Read Full »

How to manage side effect of Veenat in CML patient?

Query: Hi doctor,I am diagnosed with CML with chronic phase TLC was 4.84 lakhs and was on treatment with Hydrox. During the course of treatment, I have developed tinnitus in the right ear. When I got admitted I had severe vertigo. After the treatment I started with Veenat 400 mg, my count came down to 1240...  Read Full »


Dr. Parth R Goswami

Family Physician, General Practitioner, Hematologist, Pathologist

Answer: Hello, Welcome to icliniq.com. You have been prescribed an excellent drug for CML (chronic myeloid leukemia) that is Imatinib mesylate. This drug is considered gold standard treatment for CML. It can lead to nausea, musculoskeletal pain, diarrhea, joint pain, pancytopenia, etc., like side effects....  Read Full »

My brother's leukocyte count is persistently high. Is it something of concern?

Query: Hi doctor, My brother was admitted to the hospital after he was diagnosed with dengue. However, there was concurrent evidence of severe leucocytosis (WBC >45,000 and neutrophils >70 %) and also few myelocytes and metamyelocytes. The USG of the abdomen area also revealed moderate hepatosplenome...  Read Full »


Dr. Elina Angelova Beleva

Hematologist

Answer: Hello, Welcome to icliniq.com. In case of a severe infection, an elevation of the white blood cell count (WBC) is expected and it can reach up to 100 g/L, also described as a leukemoid reaction. This is not a blood cancer and denotes the presence of mature neutrophils on the peripheral smear due to ...  Read Full »

Do increased levels of RBC and vitamin B12 indicate early onset polycythemia vera?

Query: Hi doctor, My RBC levels have been slightly elevated for the past six months. It was 5.17 a year back, and a couple of months back it was 5.39. I noticed that from the last two years, the RBC count has been borderline high. Last week my vitamin B12 was tested due to a nerve issue in my face, which ...  Read Full »


Dr. Parth R Goswami

Family Physician, General Practitioner, Hematologist, Pathologist

Answer: Hi, Welcome to icliniq.com. I appreciate your knowledge and awareness towards your health, and I have seen your reports (attachment removed to protect patient identity). Your vitamin B12 level is certainly high, enough that warrants further investigation. Following are the common causes for high vit...  Read Full »

From the attached investigations, kindly explain the condition of the patient.

Query: Hi doctor, The patient was admitted due to eight episodes of hematemesis, weight loss and loss of appetite since last six months. It was accompanied by bone pain, abdominal pain, abdominal distension, jaundice, vomiting, altered bowel habit, fever, shortness of breath, decrease urine output or al...  Read Full »


Dr. Parth R Goswami

Family Physician, General Practitioner, Hematologist, Pathologist

Answer: Hi, Welcome to icliniq.com. I had undergone the patient's reports (attachment removed to protect patient identity). First of all, the patient has a tear in esophageal mucosa because of which bleeding occurred. To prevent bleeding, I suggest vasoconstrictor agent, adrenaline injection in the mucos...  Read Full »

Should I be prepared for any other tests to check my blood cell levels?

Query: Hi doctor, I am a 35 year old female. I have hypothyroidism and I am on Synthyroid. Overall, I am healthy. I exercise daily and do not smoke. I have a 15 month old toddler. Throughout my pregnancy, my blood work showed an elevated WBC, but they are under 15 k/mL. They just assumed it was due to bein...  Read Full »


Dr. Prakash H Muddegowda

Geriatrician, Hematologist, Pathologist

Answer: Hi, Welcome to icliniq.com. Based on your query, my opinion is as follows: The high basophil count of 10% associated with immature granulocytes of 9.8% is a bit worrisome. The white blood cell count is unusually low for the above findings. As with the above, I expect to usually count on more than 10...  Read Full »

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