Reactive Lymphocytes

Reactive lymphocytes are lymphocytes that become large when stimulated by antigens. It is usually associated with viral infections, drug reactions, radiation, hormonal diseases, and immunization.

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Why are my lymphocyte levels persistently high?

Query: Hi doctor, I got blood work through the doctor. Lymphocytes were high. Last year it was 7.3 lymphocytes/mcL and comparatively less this year 5.6 lymphocytes/mcL. Still, I am concerned why it is not reduced.  Read Full »

Dr. Parth R Goswami

Answer: Hi, Welcome to Following is my opinion for your asked question. Your absolute lymphocyte count is high as per provided history. If it remains persistently high, investigate further with flow cytometry to rule out the monoclonal nature of elevated lymphocytes. However, before that, ...  Read Full »

Are the lymph nodes on both sides of the groin enlarged due to follicular lymphoma?

Query: Hi doctor, I have few lymph nodes on both sides of my groin for one year, but there is no pain in the groin and abdomen. Chest CT scan showed few subcentimeter lymph nodes in the stomach, mesenteric and is non-specific. However, other CT findings are normal, with no fever, weight loss, or other sym...  Read Full »

Dr. Parth R Goswami

Answer: Hello, Welcome to I can understand your level of confusion about transformed lymphocytes. Transformed lymphocyte means enlarged lymphocyte nucleus and prominent nucleoli. So, it will resemble a blast or malignant lymphocyte-like cell. But transformed lymphocytes do not always mean lym...  Read Full »

Should I be worried about gastric pain and constipation issues?

Query: Hi doctor, I have gastric pain and constipation issues. I have done some blood tests, stool tests, and occult blood tests. I have a lymphocyte count of 42 lymphocytes/mcL and all the other parameters are normal. I have done a liver function test and lipid profile. All the results came back normal.  Read Full »

Dr. Nagaraj Patil

Answer: Hi,Welcome to blood reports are absolutely normal (attachment removed to protect patient identity). A slight increase in lymphocytes with other counts being normal is not a concern. Lymphocytes get increased in response to viral infections or loose stools. They are called reactive l...  Read Full »

What could cause recurrent fever and body pain in a 13 year old?

Query: Hi doctor,My son is 13 years old and his weight is 46 kg. His WBC is 6000, lymphocyte is around 50% (checked thrice in the last two years), Hb is 11 g% and HbE trait. His overall health is fine, but he is getting recurrent fever attack of around four to five times in a year with severe body pain. P...  Read Full »

Dr. Prakash H. Muddegowda

Answer: Hi, Welcome to Based on your query, my opinion is as follows: HbE trait with 11 g% hemoglobin is good and well maintained. His white blood cell count is normal and lymphocytes are mildly increased. There is nothing to suggest any particular cause. Recurrent infection could be due to low...  Read Full »

My WBC counts are falling down. What is the reason?

Query: Hi doctor, I am concerned about my low and falling WBC count recently. I do not have any chronic diseases. My doctor says, it is vitamin B12 deficiency and the doctor has prescribed Vitamin B12 to take 1000 mg per day. My mother had MDS, diagnosed two years back and expired from it. My WBC counts r...  Read Full »

Dr. Elina Angelova Beleva

Answer: Hi, Welcome to I can understand your worries. First, it is of utmost importance to have a glass slide reviewed by a hematologist to check for the morphologic abnormalities, that is the dysplastic features of the cells. Not only it depends on the count, but also on the appearance of th...  Read Full »

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