Recently Answered Questions
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I have low ferritin levels despite medications. Why?
Query: Hello doctor, I am a 21 year old female. Yesterday, doctors have checked my blood. I am visiting a hospital frequently as I have iron deficiency anemia. The thing I am scared about is, my doctor asked me why my ferritin has not increased (just the opposite, it has decreased from 5.79 to 5.77) after ... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. In viral infection, lymphocytosis means increased lymphocytes and neutrophil is relatively low because of increased lymphocytes. Platelet can be high in iron deficiency anemia. It is not a matter of worry just now. You can provide your reports to guide you further.... Read Full »
Kindly suggest further tests to rule out cancer.
Query: Hello doctor, Blood tests show high leukocytes of 12000 per microliter of blood with lymphocytosis and an elevated alkaline phosphatase at 162 u/L. Kindly suggest further tests to rule out cancers and lymphoma. Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. You need to repeat your CBC (complete blood count) after three to five days. If lymphocytes count is normal then the chances of cancer are very less. If lymphocytes count remains persistently high then further workup as follow. 1. Peripheral smear examination repor... Read Full »
Does increase in lmphocyte count indicate leukemia or lymphoma?
Query: Hello doctor, I had a viral infection before two months with fever for five days and cough and increased mucus production for more than two weeks. On a follow-up visit with a PCP, I was given antibiotics for five days Azithromycin and antihistamine Levocetirizine to make sure there is no secondary i... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. I have seen your attached report. (attachment removed to protect patient identity). The lymphocytes are slightly elevated. The lymphocytosis seems most likely to be due to previous viral infection of the upper respiratory tract. The peripheral smear report not sho... Read Full »
I have been diagnosed with monoclonal B cell lymphocytosis. Kindly advice.
Query: Hello doctor, I am 46 years old. I have been diagnosed with monoclonal B cell lymphocytosis. B-cell markers CD19 is 36 %, CD 20 is 33 %, and CD 22 is 3%. Dual expression Cd19/Cd5 is 31 %, Cd19/Cd23 is 31%, Cd19/Cd10 1 %. Blood was lymphoid gated. B-cell population co-expresses CD 45, 5, 19, 23, 20 d... Read Full »
Answer: Hello, Welcome to icliniq.com. Based on your query, my opinion is as follows, 1. Going through the markers and the count, a diagnosis of MBL (monoclonal B-cell lymphocytosis) can be thought of. 2. Absolute counts are only mildly increased. Need to watch for rising counts and any lymph nodes in t... Read Full »
Can a history of EBV cause persistent lymphocytosis?
Query: Hi doctor, I have attached my reports. Please explain to me what it is? Do I have persistent lymphocytosis? Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. Following is my answer to your asked question. In the attached reports (attachment removed to protect patient identity), your lymphocytes count are repeatedly elevated. So it is suggestive of persistent lymphocytosis. You have EBV (Epstein- Barr virus) IgG (immunoglo... Read Full »
Query: Hello doctor,I have three abnormal CBC reports that were taken in an interval of 15 days. The reports show high lymphocytes and low neutrophils, but WBC is within the normal range. But I am totally fit and fine. My physician suggested I take a peripheral blood smear test. The results of the test wer... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. I can understand your concern. You have not mentioned how much high lymphocytosis was present. I would like to know your absolute lymphocyte count (ALC) to give a more precise comment. ALC can be calculated from the total WBC (white blood cells) count. You a... Read Full »
Is leukocytosis with lymphocytosis a kind of cancer?
Query: Hello doctor, My height is 5 feet 2 inches, and I weigh 198.41 Ibs. I got my thyroid tests done. I am already taking Eltroxin 50 mcg daily. Please check the reports and let me know what can be done. Read Full »
Answer: Hello, Welcome to icliniq.com. I went through your post. Your reports say (attachment removed to protect patient identity) that your TSH, T3, and T4 are normal. I suggest Eltroxin (Levothyroxine) 50 mcg is enough to keep your thyroid functions in the normal range. So, continue the same dose. Rega... Read Full »
Query: Hi doctor, I have monoclonal lymphocytosis, which has been stable for six years. ALC has never gone above five. I had an epidural steroid injection for back pain. Twelve days later, a CBC was drawn, and ALC and WBC had risen rather dramatically. Before that, ALC was 3.95 and WBC was 8.78. Now, ALC i... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hi, Welcome to icliniq.com. Following is my answer to your asked question. It is very likely that steroids can increase the blood count. The effect of such steroid (given systemically) on CBC (complete blood count) can last for a maximum of up to three to five weeks usually. I hope I have answer... Read Full »
Can you please review my wife's blood report?
Query: Hello doctor, This is for my wife. She is 36 years old. Her height is 5'4" and weight is 65 kg. Recently, we had a blood test and the attachments here are the results of the same. We are worried with the absolute lymphocytes count and percentage as well as the other highlighted numbers in the report... Read Full »
Dr. Geetha Priyadarsini Kamminana
Answer: Hello, Welcome to icliniq.com. After reviewing the reports (attachment removed to ensure privacy), I've noticed that her vitamin D levels are on the lower side. With the exception of some fluctuations in the hemogram report, the rest of the reports appear to be within the normal range. Her lymphocyt... Read Full »
My lymphocyte count is higher than normal, Do I have AIDS?
Query: Hello doctor, According to my CBC report, I am just above the normal lymphocyte count. Does this range come under lymphocytosis? Also, I have read that AIDS could be one of the causes of lymphocytosis. But, I am confused because I thought AIDS destroys lymphocytes, which causes lymphocytopenia. Ple... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. I read your query, and I can understand your concern. HIV (human immunodeficiency virus) infection reduces the lymphocyte count. However, HIV cannot be diagnosed by CBC(complete blood count) test. CMIA (chemiluminescent magnetic microparticle immunoassay) tests Or EL... Read Full »