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Forum Name: Hematology Topics

Question: Decreasing lymph and Increasing Neutrophils??


 pwolffie - Fri Dec 26, 2008 10:31 am

Hi, I am a 35-year-old femaie. The following CBC results are from last week (Dec 2008) from the most recent test to compare - 2004. My doctor called me and said he was perplexed at the lymph results decreased and the neutrophils increased with these tests. He is having me retest in one month. On another note, may be unrelated. He ordered a baseline mammogram for me in a couple of weeks. I have no family history, but he said I have 'bumpy' breasts and other markers (breastfed two babies, birth control pill use, prior smoker). Any knowledge you can share with me on the blood test results will help me greatly!

2008 2004
WBC 9.3 11.3 (High)
PMN (%) 82 (High) 78 (High)
PMN ABSOLUTE (k/ul) 7.6 78.8 (High)
LYMPH ABSOLUTE (k/ul) 1.1 1.8
 Dr.M.jagesh kamath - Fri Aug 27, 2010 11:49 am

User avatar Hello,A moderate in increase of leukocytes with absolute increase in neutrophils is generally seen in bacterial infections, corticosteroid administration,abscess formation,ketoacidosis,neoplasia etc.
A peripheral smear examination would be useful here.A shift to left with more immature forms,and toxic granulations indicate severe infection.Reactive neutrophilia is seen in hodgkin's disease.
Physiological factors like physical exercise and emotional stress can increase leukocyte counts too.The clinical correlation is important rather than isolated findings.
Best wishes.

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