Cancer of the blood or the bone marrow is known as leukemia. It is caused when the damage to the genetic material of immature blood cells, mainly white blood cells, results in the continuous formation of new abnormal blood cells. The healthy blood cells die in time, but these abnormal blood cells do not die and get accumulated.

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I was diagnosed with leukemia, but my blood report confirmed that my WBC count has become normal. Does it mean that I do not have leukemia now?

Query: Hello doctor, I was diagnosed with leukemia, and I have been taking the tablet Imatinib 400 mg. My blood report confirmed that my white blood cell count has become normal. Does this mean that I do not have leukemia? Can I live a normal life now? I am planning to get married in a few years. Will my c...  Read Full »

Dr. Mubashir Razzaq Khan

Answer: Hello, Welcome to icliniq.com. You are on Imatinib therapy because you had CML (chronic myeloid leukemia). From the attached reports (attachments removed to protect the patient's identity), a normal white blood cell (WBC) count shows that you are in the stage of hematological remission. I suggest ...  Read Full »

Why am I having a bruise under my foot and petechiae on my arm?

Query: Hi doctor,I am in my early twenties. I am concerned that I have leukemia. I have a bruise under my foot that I noticed yesterday. I walk barefoot in the garden, and I remember stepping on a stone which was painful, so it could be a bruise from that. The biggest thing that concerns me is that I have ...  Read Full »

Dr. Mubashir Razzaq Khan

Answer: Hi, Welcome to icliniq.com. Most of the skin lesions seem either traumatic or due to compression. There are no petechiae but bruises. Females have more tendency to bruise than males, normally. CBC (complete blood count) shows a normal pattern, except for your hemoglobin, which is on the borderlin...  Read Full »

My partner's father succumbed to leukemia. Is there a chance of my partner inheriting it?

Query: Hello doctor, I want to know about a rare disease with a high white blood cell count. My partner's father was 25 years old when he was diagnosed with this disease. Unfortunately, he succumbed to it after fighting for ten years. I want to know what are the chances of my partner catching it?  Read Full »

Dr. Mubashir Razzaq Khan

Answer: Hello, Welcome to icliniq.com. It is difficult to describe a condition without any clinical history. However, it seems the patient had acute leukemia. This nowadays is not a life-threatening disease in most cases. But it was a serious ailment a decade ago. Moreover, it is not an inherited disease. T...  Read Full »

Leukemia runs in my family. Does my high lymphocyte level suggest I have it too?

Query: Hi, Should I be concerned that several blood CBC tests over the past two months have been out of range on the high end? Particularly the absolute lymphocyte count. There is leukemia in my family. I have no symptoms except fatigue and nausea. Please guide.  Read Full »

Dr. Goswami Parth Rajendragiri

Answer: Hi, Welcome to icliniq.com. I read your query and understand your concern. Your reports show mild elevated absolute lymphocyte count. But your total WBC (white blood cells) count is normal. So it is not the blood Cancer. But if you have had a high absolute lymphocyte count for two months, then w...  Read Full »

Can mild neutrophilia and borderline high TLC indicate cancer?

Query: Hello doctor, I have mild absolute neutrophilia and high-end borderline TLC. Can this be a sign of cancer?  Read Full »

Dr. Mubashir Razzaq Khan

Answer: Hi, Welcome to icliniq.com. I hope you are doing well in the pandemic. The signs and symptoms associated with neutrophilia are those of infections. Sore throat, skin infection, chest infection, and urogenital infections are common. Moreover, neutrophilia can occur due to stress, steroid use, h...  Read Full »

What is the diagnostic feature in the blood of stage 4 leukemia?

Query: Hi doctor, Can you help me read the attached report of my friend's blood test? Please explain about her condition. I want to check if the patient is diagnosed with leukemia.  Read Full »

Dr. Goswami Parth Rajendragiri

Answer: Hi, Welcome to icliniq.com. Here, in the attached report (attachment removed to protect patient identity), some part of the peripheral smear examination report is not visible in leukocyte. Upload peripheral smear examination report, which is fully visible, so that I can comment on it. The leukocyt...  Read Full »

My testicular ultrasound shows multiple solid nodules. Is biopsy needed?

Query: Hi doctor, I have had an ultrasound on my testicles and found multiple solid nodules or lumps and lesions in both testicles. He strongly suspects germ cell tumors. I have had blood tests done, and tumor markers and everything else is normal. I will be seeing a urologist in about two weeks. Do I have...  Read Full »

Dr. Arvind Guru

Answer: Hi,Welcome to icliniq.com.Any testicular mass is treated as cancer unless proven otherwise. That is why it is advised to evaluate the lesions found by patient or ultrasound by surgical removal and detailed pathological examination.Whereas for most other sites, the biopsy is possible. The biopsy is n...  Read Full »

What are the different types of skin pigmentations?

Query: Hi doctor, I have some red dots around my ankles, feet, and legs. They are permanent because they tend to fade but show up more red after showers or during the night. I recently saw them like two to three months ago, and they may be present for a long time, but I did not know. I saw four doctors at...  Read Full »

Dr. Mubashir Razzaq Khan

Answer: Hi, Welcome to icliniq.com. I hope you are doing well and safe in the pandemic. I am a hematologist, and I have been treating blood diseases for the last couple of decades. I closely inspected your images (attachment removed to protect the patient's identity). A few of the spots were pigmentati...  Read Full »

What are the risk factors associated with leukemia?

Query: Hello doctor, I have some petechiae. I do not know for how long I am having this. I saw about five doctors, none of them are concerned, but the thing is that it does not go away, and I am scared of leukemia. They did not ask me to do any blood test, and I would like a good and honest answer from yo...  Read Full »

Dr. Sugreev Singh

Answer: Hi, Welcome to icliniq.com. I understand your concern. Actually, these tiny spots can be due to allergic reactions, and honestly, I would suggest you not to worry because this is no sign of leukemia or any serious complications. It is just an allergic reaction. Causes can be shaving cream or razor...  Read Full »

What causes Schamberg disease?

Query: Hello doctor, I have some red flat dots on my feet, ankles, and leg. They are petechiae because they do not blanch. I do not have many of them, but I feel that they always tend to fade and come back in the same spot. I do not know if it is normal. I consulted with five doctors, and none of them ord...  Read Full »

Dr. Shanza Ikram

Answer: Hi, Welcome to icliniq.com. I went through your case, and there is nothing to be worried about. It is capillaritis or Schamberg disease. In both conditions, blood oozes out from blood vessels and gets deposited in the skin layers. There is a variation of skin color, some have dark skin tone, and oth...  Read Full »

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