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Doctor insights on: Chronic Lymphocytic Anemia

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Granulocyte % of 72.4, and lymphocyte % of 20.3, be indicative of? Dx of chronic anemia. +2 pitting BLE. 33 yr old. Possibilities? GFR WNL.

Granulocyte % of 72.4, and lymphocyte % of 20.3, be indicative of? Dx of chronic anemia. +2 pitting BLE. 33 yr old. Possibilities? GFR WNL.

Ignore percentages: These percentages are useful only as a quick reminder about absolute counts. If your absolute neutrophil and absolute lymphocyte counts are fairly near reference range, and all the cells look normal, then stop worrying. Your "chronic anemia", by contrast, needs to be worked up -- it's never acceptable not to know the exact cause and address treatment when possible. Best wishes. ...Read more

Dr. Steven Ginsberg
1,236 doctors shared insights

Anemia (Definition)

Anemia refers to any condition where there is a decrease in the red blood cells in the body. There are numerous causes of anemia but they can basically be broken down into 3 categories: decreased production of red blood cells increased destruction of red ...Read more


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Hi, i'm a 62 year old female with thyroid issues and pernicious anemia. Recent blood tests came back as low neutrophils (1400) and high lymphocyte 55%?

Hi, i'm a 62 year old female with thyroid issues and pernicious anemia. Recent blood tests came back as low neutrophils (1400) and high lymphocyte 55%?

Not dangerous but...: White counts fluctuate wildly. If you are on propylthiouracil, this can drop neutrophils dangerously low as an idiosyncratic reaction. Keep at least an eye on it. ...Read more

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Is it possible the presence of few atypical lymphocytes in pbs is related to microcytic anemia?

Is it possible the presence of  few atypical lymphocytes in pbs is related to microcytic anemia?

Not likely: Atypical lymphocytes may have to do with a viral infection, seen on peripheral blood smear (pbs). Microcytic anemia is a type of anemia where the size of the red blood cells are smaller th an normal; causes would include iron deficiency, thalassemia, lead poisoning, or some form of hemolytic anemia. Are you a med student? ...Read more

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Had CBC blood work all normal except low lymphocytes could I have aplastic anemia?

Had CBC blood work all normal except low lymphocytes could I have aplastic anemia?

Hematology: Low lymphocyte count on one blood test should not raise any concern especially if all the other elements of your CBC are normal. Routine follow up with your pmd and a repeat CBC at some point will put your mind at ease. ...Read more

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Should I be worried if my lymphocytes are 44.6 and segmented neutrophils are 34.2. I have iron anemia deficiency. Also, I have hyperplastic polyps.

Should I be worried if my lymphocytes are 44.6 and segmented neutrophils are 34.2. I have iron anemia deficiency. Also, I have hyperplastic polyps.

Not much..: Except for the anemia which should be investigated (cause?) and is easily treated, the other info is not of much significance ...Read more

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Should I be worried if S.Neutrophils are 34.2 Lymphocytes 44.6 Monocytes 9.9 Eosinophils 11.0 and Basophils 0.3? I have Ironn anemia def and allergies

Should I be worried if S.Neutrophils are 34.2 Lymphocytes 44.6 Monocytes 9.9 Eosinophils 11.0 and Basophils 0.3? I have Ironn anemia def and allergies

See below: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, it would have helped to have the actual counts, however, the relative numbers are in keeping with your diagnoses. Iron deficiency in an adult male of concern and you need to be evaluated for blood loss by your doctor. ...Read more

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I was diagnosed with microcytic anemia due to heavy menstruation. Pbs shows few atypical lymphocytes. No blast seen. Could this be a reaction related?

Take iron: I wouldn't worry about the differential as long as u feel ok, unless one is wayyyy off, especially in the low direction. Take the iron and try the ocp for bleeding control. Look up lystedalysteda as well if u don't like hormones. ...Read more

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Slight fever, body ache, headache, when I cough theres green phlegm, slight anemia. Could this be the reason of few atypical lymphocytes seen in smear?

Slight fever, body ache, headache, when I cough  theres green phlegm, slight anemia. Could this be the reason of few atypical lymphocytes seen in smear?

It could be: Atypical lymphocytes can be seen in the peripheral blood smears on patients with viral infection. The symptoms you described could certainly be consistent with viral infection. Having said that, f/u and discuss further with your doctor about your symptoms. Also will need to have some blood work-up to find out the cause of your anemia. Good luck. ...Read more

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