Patient's Query
Hello doctor,
My sister is aged 55 years, and the blood report says that it is mild anisopoikilocytosis macrocytic normochromic RBC. The WBCs are having lymphocytic prominence with reactive lymphocytes. The platelets show marked thrombocytopenia. Her hemoglobin is 7.9, her neutrophil count is 1520, and her absolute lymphocyte count is 5624. What could be the further diagnosis and treatment?
Kindly help.
Hello,
Welcome to icliniq.com.
Her hemoglobin level is low. For that, further workup can be done in the form of serum iron, TIBC (total iron binding capacity), and ferritin estimation. I need to know her hematocrit and RBC value as well to guide you further. You need to correct anemia with iron or B12 supplements according to need. Tiredness and dyspnea are because of low Hb levels. High lymphocytes and low platelets can be present in a viral infection.
Kindly mention any other complaints if present to guide you further. If the lymphocyte count does not improve with time, then a more advanced study like flow cytometry might be needed.
I hope this helps.
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Answered byDr. Goswami Parth Rajendragiri
Medically reviewed byiCliniq medical review team
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