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Doctor insights on: Atypical Reactive Lymphocytes

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Dr. Feras Abdul khalek
Board Certified, Hematology and Oncology
9 years in practice
115K people helped
1

1
Crp .1 mg/l. Ra/anti-dsdna antibs/ana all negative. Why might hematology report indicate "suggested reactive or inflammatory process"? Also noted subset of reactive lymphocytes, occasionally atypical.

Dr. Feras Abdul khalek
Board Certified, Hematology and Oncology
9 years in practice
115K people helped
Crp .1 mg/l. Ra/anti-dsdna antibs/ana all negative. Why might hematology report indicate "suggested reactive or inflammatory process"? Also noted subset of reactive lymphocytes, occasionally atypical.

See below : Reactive (atypical) lymphocytes are usually due to viral illness or stressor on the body. It could be due to a medicine reaction or autoimmune disorder as well. Your CRP level of 0.1 is very low which is good. And your ra/anti ds dna are negative. So overall they didn't find anything abnormal and they called it possibly due to reactive process. ...Read more

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Dr. Vikram Patel
Board Certified
32 years in practice
853K people helped
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Dr. Vikram Patel
Board Certified
32 years in practice
853K people helped
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Dr. Gurmukh Singh
Board Certified, Pathology
44 years in practice
96M people helped
2

2
What is the cause for high reactive lymphocytes?

Dr. Gurmukh Singh
Board Certified, Pathology
44 years in practice
96M people helped
What is the cause for high reactive lymphocytes?

Viral infection: Viral infections like epstein barr (cause of mono), CMV and others are the usual causes of elevation of reactive lymphocytes. If these persist, it would be prudent to have a hematologist evaluate you. ...Read more

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Dr. Vikram Patel
Board Certified
32 years in practice
853K people helped
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Dr. Vikram Patel
Board Certified
32 years in practice
853K people helped
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Dr. Joseph Torkildson
Board Certified, Pediatric Hematology and Oncology
34 years in practice
344K people helped
3

3
What is the best medicine for atypical lymphocytes?

Dr. Joseph Torkildson
Board Certified, Pediatric Hematology and Oncology
34 years in practice
344K people helped
What is the best medicine for atypical lymphocytes?

None: The most common reason a person has atypical lymphocytes in their blood is a recent viral illness. No medicine is required for this, they will go away as the infection is cleared. ...Read more

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Dr. Neil Barth
Board Certified, Medical Oncology
39 years in practice
25K people helped
4

4
What is a normal number of atypical lymphocytes ?

Dr. Neil Barth
Board Certified, Medical Oncology
39 years in practice
25K people helped

Zero: By definition, there should not be any circulating atypical lymphocytes in a 'normal' person. ...Read more

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Dr. Vikram Patel
Board Certified
32 years in practice
853K people helped
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Dr. Joseph Fay
Board Certified, Hematology and Oncology
44 years in practice
59K people helped
5

5
What does high absolute lymphocyte and atypical lymphocytes indicate?

Dr. Joseph Fay
Board Certified, Hematology and Oncology
44 years in practice
59K people helped
What does high absolute lymphocyte and atypical lymphocytes indicate?

Viral infection: Most likely a viral infection. Seen in "mono" and similar infections. Need a through physical examination and additional studies. ...Read more

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Dr. Michael Kleerekoper
Board Certified, Endocrinology
46 years in practice
5M people helped
6

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I am being sent to hemotologist for low ferratin and 3% atypical lymphocytes. should i be concerned?

Dr. Michael Kleerekoper
Board Certified, Endocrinology
46 years in practice
5M people helped
I am being sent to hemotologist for low ferratin and 3% atypical lymphocytes. should i be concerned?

Concerned: Concerned -yes, but 3% atypical lymphocytes is unlikely to have any effect on your well being. Get used to the fact that your blood work will be reviewed frequently (usually every 3 months) and then much less often if all is going well, which i hope it is. ...Read more

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Dr. William A Biermann
Board Certified, Medical Oncology
41 years in practice
1M people helped
7

7
Pbs shows few atypical lymphocytes seen. No blast noted. Could this be from leukemia or lymphoma?

Dr. William A Biermann
Board Certified, Medical Oncology
41 years in practice
1M people helped
Pbs shows few atypical lymphocytes seen. No blast noted. Could this be from leukemia or lymphoma?

Unlikely: This is a very nonspecific finding. This is often seen in viral illnesses. Often it is not a significant problem. ...Read more

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Dr. Matt Wachsman
Board Certified, Internal Medicine
31 years in practice
4M people helped
8

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What could atypical lymphocytes with low neutrophils and high lymphocyte values mean? Everything else is in normal range.

Dr. Matt Wachsman
Board Certified, Internal Medicine
31 years in practice
4M people helped
What could atypical lymphocytes with low neutrophils and high lymphocyte values mean? Everything else is in normal range.

Generally viral: but having a lot of them would indicate a serious condition like leukemia. Without an actual examination, I cannot give specific medical advice on your particular health, but there's a lot more on the test that you wouldn't know to tell me, but the person ordering it would know. How abnormal are they? how many ? is there a lot of anemia or other abnormalities ? is the person getting the test sick? ...Read more

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Dr. Michael Dugan
Board Certified, Hematology
5M people helped
9

9
My pbs shows 8 atypical lymphocytes I am on remission since 2007 from pre b all ?

Dr. Michael Dugan
Board Certified, Hematology
5M people helped
My pbs shows 8 atypical lymphocytes I am on remission since 2007 from pre b all ?

The most common: Cause of atypical lymphatic on the smear is a viral infection. Always anxiety in leukemia survivorship, but no red flag here. ...Read more

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Dr. Christian Schultheis
Board Certified, Hematology and Oncology
19 years in practice
1M people helped
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Dr. Vikram Patel
Board Certified,
32 years in practice
853K people helped
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