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

Question

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%.

Is 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.

I hope this helps clear things up.

Please reach out if you have any more questions or concerns.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

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

Routine variation in various white blood cell counts 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.
As all other counts are normal, no bone marrow disease can be suspected. This is just a routine variation.
If you look at the maximum percentage of all cells together in WBC, it will be more than 100 percent together. Variation in other cell lines inversely affects the count.
As there is no infection or any other problems, this variation can be safely ignored. If other cell counts approach the minimum limits, this will come back. Repeat the test after three months, and it should be normal.

I hope this helps clear things up.

Please reach out if you have any more questions or concerns.

Thank you.

Answer 2

Hi,

Welcome back to icliniq.com.

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