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A 27-year-old female asked:

My one year old has high monocytes (1.8 absolute) and low neutrophils (0.5 absolute) could this be an indication of leukemia?

3 doctor answers • 4 doctors weighed in
Dr. James Ball
Dr. James Ballanswered
Pediatric Hematology and Oncology 21 years experience
Viral more likely: The low neutrophils should be followed. The most common cause for the low neutrophils is some type of infection (usually viral infection). If this is so, i would expect things to get better within a month's time. Leukemia often causes other blood counts to be low (platelets, hemoglobin). But do have the blood counts followed in a few weeks.
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5.4k viewsAnswered >2 years ago
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Dr. Scott Diede
A Verified Doctoranswered
31 years experience
Unlikely...: As mentioned, viruses can transiently cause low neutrophils. Another cause could be auto-antibodies directed toward neutrophils (also temporary). An increased monocyte count is usually the body's natural response to low neutrophils to help fight infection. If other counts (red blood cells or platelets) go low or new concerning symptoms (unexplained fevers), may need further evaluation (peds heme).
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5.4k viewsReviewed >2 years ago
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Dr. Agos Luca
Dr. Agos Lucaanswered
Specializes in Pathology
Probably not: At this age, the most likely cause for neutropenia (low neutrophils) accompanied by mild absolute monocytosis (normal is about 1) is an infection, most commonly viral. Consulting with your pediatrician is recommended.
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4.2k viewsReviewed >2 years ago
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Dr. Martin Fried
Dr. Martin Fried agrees1 doctor agrees

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Last updated Nov 20, 2020

Found in:

Child health›Leukemia

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My one year old has high monocytes 1.8 absolute and low neutrophils 0.5 absolute. Is this an indication of leukemia? Labs 3 weeks prior were the same
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