Cyclic neutropenia is considered if on serial differential blood counts a typical cyclical pattern of blood neutrophils count is seen. (at least 3 times per week over six weeks) to search for the disease.
Other blood cells, such as platelets or red cells may also with a cyclical pattern.
Cyclic neutropenia may be sporadically, or run in families .
Patients with clinically significant cyclic neutropenia (ANC less than 200 cells/µl) (0.2 x 109/l) may have some symptoms with each cycle, but significant infections are infrequent.
The increase in the red blood cell count is not high enough to search for a cuase for primary erythrocytosis (RBCs or bone marrow causes), however, an apparent erythrocytosis( red cells are more concentrated), can be considered.
high blood pressure
fluid loss, diuretics (water pills)
The increase is usually temporary and resolve once the cause is treated.
I advise you to follow up with your Doctor.
Keep us updated.
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.