News  |  Journals  |  Conferences  |  Blogs  |  Articles  |  Forums  |  Twitter   
 

 Headlines:

 
 

Doctors Lounge - Hematology Answers

"The information provided on www.doctorslounge.com is designed to support, not replace, the relationship that exists between a patient/site visitor and his/her physician."

Back to Hematology Answers List

Forum Name: Hematology Topics

Question: What are implications of Low Neutrophils /High IgM?


 AJ63 - Sun May 03, 2009 5:31 pm

hi everyone:
I have had some confusing lab results, and I'm hoping you can help me understand them. My doctor was checking to see if I had Anti Phospohlid Syndrome. I'm healthy, non-smoker, don't drink any alcohol, 18.6 BMI, very fit, 46 year old female. Only other DX of importance could be Long QT, but I don't know if that's relevant.

The result is listed first, with the lab reference range in parentheses.

Neutrophils (absolute count): 1.4 (2.1-6.5)
Eosinophils 6 (0-4%)
Lymphocytes 41 (13-46%)
Monos 10 (4-12%)
Neutrophils % 43 (41-81)

WBC (K/ul) 3.3 (3.5-12.5)
Hematocrit, Hgb, MCV, Platelets, RDW, RBC all normal

Cardiolipin IgM >100 (1-9 Mpl) (was 41 in 08; no gammopathy back then. I don't know about now yet)
INR PT 11.2 (9.1-11.2 sec)
Beta 2 Glycoprotein ser/plas U/ml
[list=]IGA <10
IGG <20
IGM 14[/list]

CRP, homocysteine, and cardiolipin IGG all normal.
Cryoglobulins negative
Lupus Anticoagulant, ANA all negative (although I had an ANA of 1:640 speckled in 2004--negative since then).

a) Is there any relationship between the IgM and the low neutrophils?

b) My doctor wants to test again in 3 months. If you were my doctor, what would be the lab tests you would run at that time? Would you test for beta 2 microglobulins?

c) What are the implications of having high cardiolipins alone (that is, if the other tests listed above are essentially normal)?

d) If a doctor asks me if I have a clotting problem, and I've had no clinical signs of a clotting problem, based on the results listed above, do I say yes or no or kind of?

Thanks for your help.

AJ
 AJ63 - Mon Jun 01, 2009 6:03 pm

The results also show no gammopathy, which is good, I think.

Thanks for your advice when you get to me

AJ

|

Check a doctor's response to similar questions

 

advertisement.gif (61x7 -- 0 bytes)
 

Are you a Doctor, Pharmacist, PA or a Nurse?

Join the Doctors Lounge online medical community

  • Editorial activities: Publish, peer review, edit online articles.

  • Ask a Doctor Teams: Respond to patient questions and discuss challenging presentations with other members.

Doctors Lounge Membership Application

 
     

 advertisement.gif (61x7 -- 0 bytes)

 

 

Tools & Services: Follow DoctorsLounge on Twitter Follow us on Twitter | RSS News | Newsletter | Contact us

 
Copyright © 2001-2010
Doctors Lounge.
All rights reserved.

Medical Reference:
Diseases | Symptoms
Drugs | Labs | Procedures
Software | Tutorials

Advertising
Links | Humor
Forum Archive
CME Articles

Privacy Statement
Terms & Conditions
Editorial Board
About us | Email

We subscribe to the HONcode principles of the HON Foundation. Click to verify.We subscribe to the HONcode principles.
Verify here