HomeAnswersHematologycomplete blood countLow absolute monocytes in blood test. Please advice.

Why the absolute monocytes are low in my routine blood work?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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iCliniq medical review team

Published At May 28, 2018
Reviewed AtDecember 26, 2023

Patient's Query

Hi doctor,

I just received my routine blood work for my cholesterol count and noticed that my absolute monocytes are low, 163. Other than this, all other blood results are within normal range. My total WBC is 5.1 and monocytes 3.2%. It there a reason to be concerned? I am currently healing from a terrible fall on my deck stairs, which resulted in a massive hematoma on my buttock. Would this have anything to do with the low absolute monocyte reading? I am currently on Lotrel and Lovastatin.

Answered by Dr. Prakash. H. M.

Hi,

Welcome to icliniq.com.

Based on your query, my opinion is as follows (attachment removed to protect patient identity):

  1. Routine variation in various white blood cell count is normal. When 100 cells are counted and the other cell group is a bit increased, then the other cell group like monocytes here may turn low in counts.
  2. As all other counts are normal, no bone marrow disease can be suspected. This is just a routine variation.
  3. If you look at maximum percentage of all cells together in WBC, it will be more than 100 percent together. Variation in other cell line inversely affects the count.
  4. As there is no infection or any other problems, this variation can be safely ignored. If other cell counts come near minimum limits, then this will come back. Repeat the test after three months and it should be normal.

Patient's Query

Thank you doctor.

Answered by Dr. Prakash. H. M.

Hi,

Welcome back to icliniq.com.

Thank you for your appreciation. Do not hesitate to revert back for further doubts.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Prakash. H. M.
Dr. Prakash. H. M.

Hematology

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