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Philadelphia, PA
A 21-year-old female asked about a 21-year-old female:

I am a 21 years old female. i saw a new doctor for painful joints in wrists/ankles. the doctor did a complete workup and it reported wbc 11.3, anc 8916, tibc 484, esr 28 and uric acid 12.9. i had a previous bladder infection. the doctor suggested to repea

1 doctor answer2 doctors weighed in
Dr. Pavel Conovalciuc
Family Medicine 24 years experience
Hard one: Unfortunately, based on the limited info you presented, it is essentially impossible to suggest anything. The WBC of 11.3 is only minimally elevated. Anc of 8916 is ok, but knowing the differential may help. Tibc without other iron studies provides very little insigh. The # itself appears elevated. An ESR of 28 is mildly increased but provides little info. Uric acid is high - gout is to be r/out.
Dr. Martin Raff
Dr. Martin Raff commented
Infectious Disease 57 years experience
The causes of multiarticular arthritis are numerous. Without a full examination and detailed history it is impossible to speculate, and as Dr.Conovalcuic indicates the lab data you have provided is incomplete, and as such difficult to interpret. If necessary see a rheumatologist.
Jun 25, 2013

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