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Doctor insights on: Pancytopenia Neutropenia

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Dr. Ed Friedlander Dr. Friedlander
Pathology
40 years in practice
Northwestern University Feinberg School of Medicine
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What do you advise if I'm diagnosed as chronic anemic, pancytopenia, leukopenia, neutropenia, thrombocytopenia and lympocytopenia?

What do you advise if I'm diagnosed as chronic anemic, pancytopenia, leukopenia, neutropenia, thrombocytopenia and lympocytopenia?

Specialist help: This is probably a marrow disease and you need to be evaluated by a competent, no-nonsense hematologist. An anemia always needs a workup and unless the other values are only trivially reduced relative to the reference range, you have serious disease until proved otherwise. Don't delay, and stay proactive.

Dr. Michael Engel
120 Doctors shared insights

Neutropenia (Definition)

Defined numerically as an absolute neutrophil count (anc) less than 1500. From there it is subdivided into mild (1000-1500), moderate (500-1000) and severe (<500). Folks with severe neutropenia are at increased risk for bacterial infections. Mild to moderate, less so. The reason for neutropenia needs to be determined. Treatments range from observation to stem cell ...Read more


Dr. Ritesh Rathore Dr. Rathore
Internal Medicine - Hematology & Oncology
26 years in practice
University of Delhi, College of Medical Sciences
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Is pancytopenia same as neutropenia?

Is pancytopenia same as neutropenia?

Related terms: Neutropenia refers to low numbers of a type of white blood cells called neutrophils. Pancytopenia refers to low numbers of white blood cells, red blood cells and platelets. Pancytopenic patients are therefore usually neutropenic but the reverse is not always true.

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Dr. Ahmad M Hadied Dr. Hadied
Orthopedic Surgery
45 years in practice
University of Damascus Faculty of Medicine
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What is tropical pancytopenia?

What is tropical pancytopenia?

Let me explain: Pertaining to the tropics, the regions of the earth lying between the tropic of cancer above the equator and the tropic of capricorn below. An acute to chronic disease caused by ehrlichia canis which is transmitted by the brown dog tick, rhipicephalus sanguineus. It is characterized by fever, nasal and eye discharges, and emaciation..

Dr. Michael Engel Dr. Engel
Pediatrics - Hematology & Oncology
16 years in practice
Vanderbilt University School of Medicine
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What are the symptoms of neutropenia?

Neutropenia is......: Divided by severity: <500 is severe, 500-1000 moderate and 1000-1500 mild. Pts with severe neutropenia, for whatever reason, are at increased risk for life threatening infections, and symptoms vary for folks across this continuum. Mucosal erosions and gingival inflammation are common. The main thing to be concerned about is the infection risk, and of course discerning cause so it can be rx'd.

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Dr. Carlos Encarnacion Dr. Encarnacion
Internal Medicine - Oncology
31 years in practice
University of Puerto Rico School of Medicine
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Pancytopenia is it treateble?

Depends: Pancytopenia is not a disease but the result of an illness or other situations. Sometimes even stopping a medicine may fix the problem. The first step is to determine why it's happening with the proper workup. Good luck.

Dr. Michael Thompson Dr. Thompson
Internal Medicine - Hematology & Oncology
16 years in practice
Mayo Clinic College of Medicine
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Is pancytopenia a symptom of leukemia?

Is pancytopenia a symptom of leukemia?

Yes: Pancytopenia, that is low blood counts for rbc, wbc, platelets indicates a bone marrow problem. The diagnosis requires a bone marrow biopsy. One cause of pancytopenia is leukemia.

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Dr. Michael Dugan Dr. Dugan
Internal Medicine - Hematology
years in practice
Indiana University School of Medicine
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Is it normal to have cyclic neutropenia?

It is not: It is normal for the neutrophil number to wax and wane, but when this is in the very low, ie neutropenic, range it is potentially serious. Additional warning signs would be chronic mouth sores or recurrent bacterial infections.

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Dr. Steven Ginsberg Dr. Ginsberg
Internal Medicine - Hematology & Oncology
33 years in practice
State University of New York Downstate Medical Center College of Medicine
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Is chronic neutropenia a type of leukemia?

Is chronic neutropenia a type of leukemia?

No: Chronic neutropenia is not a type of leukemia. However, a very low neutrophil count can increase the risk for serious and recurrent infections.

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Dr. Robert Killian Dr. Killian
General Practice
24 years in practice
University of Utah School of Medicine
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Can alcohol cause or exacerbate neutropenia?

Can alcohol cause or exacerbate neutropenia?

Immunity: Yes. Alcohol, especially frequent and/ or over use, can interfere with your immune function. It can interfere with your nutrition and the absorption of nutrients.

Dr. Joel Gallant Dr. Gallant
Internal Medicine - Infectious Disease
32 years in practice
UC San Francisco School of Medicine
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Are neutrophilia and neutropenia the same disease?

No: They're the opposite: neutropenia is a low number of neutrophils, a type of infection-fighting white blood cell. Neutophlia is a high number of neutrophils (also referred to as neutrophilic leukocytosis). Neither is a disease. These are just descriptive terms for laboratory abnormalities.

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Dr. James Blachly Dr. Blachly
Internal Medicine - Hematology & Oncology
years in practice
University of Arkansas for Medical Sciences/UAMS College of Medicine
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Can docs explain what does neutropenia postive mean?

Low neutrophils: Let's break the word down into its parts. Neutrophils are the most important bacteria-fighting cell. "~penia" means lack of something in the blood. Neutro + penia means you do not have a normal number of infection-fighting neutrophils, and are at risk of infection. Another "penia" might be thrombocytopenia, which is not enough platelets (which help our blood clot)

Dr. Michael Engel Dr. Engel
Pediatrics - Hematology & Oncology
16 years in practice
Vanderbilt University School of Medicine
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Does my neutropenia cause me to be tired all the time?

Isolated neutropenia: Should not affect your energy level typically. This would be more commonly associated with anemia. If you have a known neutropenic condition and persistent fatigue, or any fever, you need to be seen by your doctor.

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Dr. Michael Engel Dr. Engel
Pediatrics - Hematology & Oncology
16 years in practice
Vanderbilt University School of Medicine
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What is abosulte neutropenia and relative eosinophilia?

What is abosulte neutropenia and relative eosinophilia?

Neutropenia is....: Defined as an absolute neutrophil count (anc) less than 1500. From there it is subdivided into mild (1000-1500), moderate (500-1000) and severe (<500). Folks with severe neutropenia are at increased risk for bacterial infections. Mild to moderate, less so. Eosinophils are another type of granulocyte. They play a role in combating parasitic infections. They are ~1-3% of wbcs.

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Dr. Christian Schultheis Dr. Schultheis
Internal Medicine - Hematology & Oncology
20 years in practice
American University of the Caribbean
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What is idiopathic cyclic neutropenia and how is it treated?

What is idiopathic cyclic neutropenia and how is it treated?

Depends: It is a disorder where the neutrophil count is low in a cyclical pattern. To make the diagnosis, a CBC needs to be checked twice weekly for a few weeks. Typically the patient has recurrent infections. A bone marrow biopsy may need to be done to rule out other disorders. If it needs treatment, then Neupogen is given. This raises the white count. Hope this helps.

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Dr. Ed Friedlander Dr. Friedlander
Pathology
40 years in practice
Northwestern University Feinberg School of Medicine
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I fracturred my shoulder I have. Neutropenia. Will. It.Take. Longer. To heal?

It shouldn't: Not unless you have a profound neutropenia that will actually put you at grave risk for bacterial infection. You mention a low neutrophil count but no specific diagnosis. Unless it's extreme, it usually means nothing. If you're going about your normal business healthy with a lab value somewhat off, my best advice is to stop worrying.

Dr. Martin Rubenstein Dr. Rubenstein
Internal Medicine - Hematology & Oncology
41 years in practice
Stanford University School of Medicine
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What is the most effective after care diet regime for a prognosis of pancytopenia?

What is the most effective after care diet regime for a prognosis of pancytopenia?

Depends on diagnosis: Pancytopenia is a descriptive diagnosis, that says a patient has low levels of red cells, white cell, and platelets. It doesn't indicate the cause, which can include leukemia, nutritional deficiency, aplastic anemia, other bone marrow cancers, myelodysplastic syndromes, . .. It is a long list, and it is usually not something for which a particular diet is recommended, but it can be.

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Dr. Sewa Legha Dr. Legha
Internal Medicine - Oncology
46 years in practice
Punjab University, Christian Medical College
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When you are diagnosed with cronic neutropenia, does that mean it's a type of leukemia?

When you are diagnosed with cronic neutropenia, does that mean it's a type of leukemia?

Not always: Neutropenia means low numbers of white blood cells. One of the many causes of neutropenia is bone marrow failure due to leukemia or a condition called myelodysplastic syndrome (mds). A good hematologist can check you and guide you to find the cause and a solution with proper treatment.

Dr. Ed Friedlander Dr. Friedlander
Pathology
40 years in practice
Northwestern University Feinberg School of Medicine
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What to do if I have neutropenia and thrombocytopenia and am scared to death. What is happening?

Your right to know: You have not only a right but a duty to find out what's going on. You're not in danger from low platelets if they're above 50, 000, even if you get hurt, or low neutrophils until they're below about 500. You have a responsibility to find why they're low -- often it's meds, or it may just be you. Get a full medical workup, including a HIV check and a lupus check. Best wishes.

Dr. Leonard Grossman Dr. Grossman
Surgery - Plastics
32 years in practice
New York Medical College
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I just found out that my MRSA is active im a carrier. Also I have neutropenia how does this effect my care?

See: You don't need to do anything as long as you feel healthy. You should additionally visit and discuss the issue with your doc. Good luck.

Dr. Michael Engel Dr. Engel
Pediatrics - Hematology & Oncology
16 years in practice
Vanderbilt University School of Medicine
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What is the treatment for neutropenia?

It depends on. ...: The cause. Some neutropenic states are acquired and transient, for example because of marrow suppression with viral infection, and don't require any intervention. However, you can be neutropenic from autoimmune destruction or marrow infiltration by leukemia, which obviously would require different treatments. Work with your dr. To find a cause and then treat accordingly.

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Dr. Milton Alvis Jr
38 Doctors shared insights

Pancytopenia (Definition)

This is a decrease in all the cell lines of your blood. Meaning the white count, hemoglobin and platelets. If someone is anemic, the hemoglobin is low. If someone us thrombocytopenic, the platelet count is low. If someone is pancytopenic, all cell lines are ...Read more