A member asked:

0.6 cd4/cd8 ratio, 40% of t-cells are cd4, hiv/htlv negative, no reason found. is this idiopathic cd4 lymphocytopenia? even if cd4 are 40% no lower?

A doctor has provided 1 answer
Dr. John Feola answered

Specializes in Internal Medicine

LEUKOCYTOSIS: LEUKOCYTOSIS = elevated WBC. These labs associated with infection/leukemia /lymphoma and demand prompt evaluation You need an Exam/Labs/UAC&S and CXR to start. Also ct scan of chest/abd/pelvis .If no source is found then a hematology consult with bone marrow biopsy may be warranted. If BMB IS NEGATIVE IT MAY BE CLASSIFIED IDIOPATHIC AND BE CLOSELY MONITORED.

Answered 9/2/2020

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