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Wilmington, DE
A 44-year-old female asked:

Hx of sle. taking cellcept (mycophenolate mofetil). cbc in december showed slightly elev myelocyte. yesterday i had 3% metamyelocyte seen. what's the next step? bone marr bx

1 doctor answer3 doctors weighed in
Dr. Charles Jarowski
Hematology and Oncology 50 years experience
Consider infection: Although SLE and Cellcept (mycophenolate mofetil) are associated with low white cell counts and even left shifted white counts with metamyelocytes and even myelocytes (and this could well be what is happening to you), one must also worry about infection which is more likely in an immunosuppressed patient like yourself. Do you have fever? You should see your rheumatologist and even a infectious disease doctor if febrile.
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Last updated Feb 7, 2016


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