Dr. Goswami Parth Rajendragiri
Pathology
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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 WBC 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 diagnosis and treatment further?
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 the need. Tiredness and dyspnea are because of low Hb levels.
High lymphocytes and low platelet can present in a viral infection. Kindly mention any other complaints if present to guide you further. If lymphocytes count does not improve with time then a higher study like flow cytometry might be needed.
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Pathology
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