Wbc count of 4.1 , hemaglobin 10.9 and platlets in 270s' , does this mean i could have aplastic anemia? i have autoimmune disease. also have 'slight' ansio poikilocytosis, just got of menstrual cycle

Abnormal hemoglobin: Other than slightly decreased hemoglobin, the rest of your measurements is normal. It doesn't sound like aplastic anemia at all. Autoimmune disease can cause anemia as well as many other diseases.

I don't think so: You are mildly anemic and mildly leukopenic ( decrease white blood count)- but your platelet is within normal range. To me it is not consistent with aplastic anemia. Anemia and decrease white cell can certainly be caused or related to autoimmune disease- however other causes still need to be ruled out. Go to see your primary doctor and get some blood work up including iron test, vit level etc.

Doesn't look like...: Aplastic anemia to me. A differential and red cell indices would likely be informative, but i find nothing here to support a diagnosis of aa. Of note, the name aplastic anemia is unfortunate, because anemia is not the typical presentation, at least not in isolation. I suspect your modest count abnormalities are related to your autoimmune disorder, but you should work with your dr. To address them.