Leukemoid Reaction

Leukamoid reactions cause an increase in white blood cell count that mimics leukemia. The primary causes are severe infections, malignancies, hemorrhage, or acute hemolysis. The blood count returns to normal when the underlying cause is treated.

  
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Is my brother's persistent high WBC a sign 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 leukocytosis (WBC >45,000 and neutrophils >70 %) and also few myelocytes and metamyelocytes. The USG of the abdomen area also revealed moderate hepatosplenome...  Read Full »


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 t...  Read Full »

Do I have leukemia?

Query: Hi doctor, My blood test shows lymphocytes 60% where the normal range is 20% to 45%. I had immunophenotyping and the values are CD23 - 2.11%, CD19 - 0.30% and CD5 - 79.9%. What does it indicate? Am I a leukemia patient? Please advise.  Read Full »


Answer: Hello, Welcome to icliniq.com. I would also like to know the total leukocyte count, platelets, and RBC (red blood cell) count. Have you had an ESR (erythrocyte sedimentation rate) done? Is this the only CBC (complete blood count) you have ever had? Are there any accompanying symptoms like fever, chi...  Read Full »

Are there any side effects in getting a bone marrow test?

Query: Hi doctor, My mother's age is 60 years, and six months back her WBC count was 26000. She got admitted for two days and was discharged, at that time her WBC count came to 9000. Now from the last month, she was feeling tired, so we checked the WBC count, and it was 14,000. We went to the general physi...  Read Full »


Answer: Hi, Welcome to icliniq.com. I have seen your attached reports (attachment removed to protect patient identity). The report shows high total count and premature WBC cells up to 13 to 14 %. It seems to be a leukemoid reaction like condition. Myeloid proliferation is present, but it does not seem t...  Read Full »

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