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Forum Name: Hematology Topics

Question: Kikuchi-Fujimito's disease history - Bloodwork results


 Layla - Sat Sep 01, 2007 1:56 pm

Hi, would like a little help interpreting my latest blood work. Here's a brief history first:
White female 36
Hashimoto's, nodule in R lobe, benign dx2000
L supraclavicular node excised - Kikuchi-Fujimito's disease dx 2002 (suspicious of lymphoma)
Endometriosis dx 2006

Have had night sweats, fatigue, lack of stamina,L side numbness (face, hands, toes), etc. and continual monitoring of lymphoma and lupus since 2002 - neither dx.

Went to ER with severe pain in L shoulder - possible calcific bursa with arthritis and impingement (MRI read by physical therapist). No dx yet.

Blood work from ER states "essentially normal except:"

WBC 13.5, Hgt 13.9, Hct 30.9, Platelets 302, Na 139, K+ 3.6, BUN 7, CR 0.7

What do these results mean? Could they just be off due to the stress involved with severe pain?

Thank you for your time.
 Dr. Chan Lowe - Sat Sep 01, 2007 10:39 pm

User avatar Hi Layla,

Your WBC count may be slightly high. This can happen for any number of reasons. Most commonly it is because of a recent infection (like a cold virus). The subtypes of white blood cells can be more helpful in determining why the WBC count is high.

Your hematocrit (HCT) may be very slightly low. This can happen for several reasons also. A recent viral infection can slow the bone marrow down a bit and cause the Hematocrit (an indirect measure of the number of red blood cells) to drop a bit. Your hemoglobin (Hgt) is not low (by most physicians standards) so I suspect that if you were to recheck your CBC your hematocrit would now be normal.

Your sodium (Na), potassium (K), BUN, creatinine (Cr), and platelets are all normal.

Overall, I am not concerned at all about your labs. I'm not really sure they give any help as to what is the cause of your symptoms. Your symptoms may be due to a viral infection or possibly a fungal infection such as valley fever or histoplasmosis.

Follow up with your doctor is important.

Best wishes.

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