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Forum Name: Hematology Topics

Question: Low WBC and RBC


 Cheri Arends - Sun Apr 15, 2007 8:24 am

43 yr old female. Healthy, although I probably drink too much wine. Only meds are the occasional Xanax. Vegetarian.Herpes with very rare (1x /yr) outbreaks. Some lefthand side pain, mainly if I eat alot of processed foods.Repeat labs came back worse than the first.
WBC 3.3
Rbc 3.78
Hgb 12.5
Hct 35.6
Plt 180
Mcv 94.3
Mch 33.1
Mchc 35.1
Differentials in normal range although Lymphocyte almost high at 39.8
What could this mean and what can I expect at my followup?
Thanks Much.
 Dr. Chan Lowe - Tue Apr 17, 2007 8:52 pm

User avatar Your WBC count is only minimally low. There are a few possibilities to explain your labs. It may be that you have recently had a virus that has suppressed your bone marrow some. This is very common.

Your WBC count is only minimally low. I would not be particularly worried about this; however, it would be good to check it again in 4-6 weeks or so.

Your slightly low hemoglobin/hematocrit may also be due to some mild viral suppression or possible a deficiency of folate or vitamin B12 given your slightly high MCV. (B12 deficiency is pretty rare and most commonly seen in alcoholics-not those who have an occasional glass of wine but those who truly drink excessively.

I would suggest that you have a repeat CBC in a month or so if you do not have any other symptoms.

Best wishes.

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