Hello,
Normal values for while blood cell and its elements are:
4,500-10,000 white blood cells/mcl.
Neutrophils: 40% to 60%
Lymphocytes: 20% to 40%
Monocytes: 2% to 8%
Eosinophils: 1% to 4%
Basophils: 0.5% to 1%
Band: 0% to 3%
Elevated Total leukocytic count can occur in different condition like:
- Infections, bacterial, viral or fungal.
-systemic disease like Rh.
Arthritis,
Psoriasis, inflamtory bowel diseases and vasculitis as well as physical stress.
- Cancer especially hematologic malignancies.
Specific increase in one blood element is more indicative of certain medical conditions, e.g
- esiophilia in allergic people, and parasitic infection,
- monocytosis is commonly seen in bacterial infections,
- neutrophilia (like in your case) in most infections and tissue damage like inflammatory and metabolic diseases.
Other known causes include:
Smoking is well documented to increase the white cell count.
Hereditary neutrophilia is another cause.
Although a higher than 11,000 white cells/mcl of blood is considered high, in leukemias the white blood cell counts can reach 100,000.
Other tests known to be elevated in tissue damage and inflammatory conditions are
ESR,
LDH and CRP. So, having an idea about their level would be helpful.
When
leukemia is suspected Bone marrow Aspirate and biopsy should be evaluated. Other symptoms like loss of weight, generalized weakness,
fever,
headache and bony pains, are warning although shared by both active inflammatory (tissue damage) and malignant causes.
Persistent elevation in the white blood cell count should be investigated properly to exclude both chronic systemic inflammatory conditions and malignancy.
I would advise you to follow up with your doctor.
Please keep us updated.
Best regards.
This answer does not substitute for direct medical consultation.
Dr. Safaa Mahmoud.
MB BCh, MSc Internal Medicine. MD Medical Oncology.
PhD Experimental Medicine and Biochemical Science.
