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Am I suffering from leukemia?

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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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Published At August 3, 2016
Reviewed AtJuly 6, 2023

Patient's 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.

Answered by Dr. Sadaf Mustafa

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, chills, or weight loss? Considering your symptoms and the CBC results, there is a possibility of leukemia or lymphoma. Another possibility is a Leukemoid reaction, which can occur during an acute infectious state.To provide you with accurate guidance, please share the complete CBC results and peripheral smear. It may be necessary to undergo a bone marrow biopsy. I highly recommend visiting a hematologist for further evaluation and management. Please provide the requested information and consult a healthcare professional promptly.

Patient's Query

Thank you doctor,

I have attached the requested document. Please have a look and advise.

Answered by Dr. Sadaf Mustafa

Hello,

Welcome back to icliniq.com.

Thank you for uploading the report (attachment removed to protect patient identity).

  • I see that you have low absolute neutrophils, which can happen in leukemia and lymphoma. But, the RBC and platelets are within normal limits, which are used to stage the disease.
  • Please be seen by a hematologist; I am still concerned that it might be lymphoma than leukemia since I do not see blast cells or atypical lymphocytes mentioned in the report.

For further doubts consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician

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

Dr. Sadaf Mustafa
Dr. Sadaf Mustafa

Internal Medicine

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