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Forum Name: Hematology Topics

Question: 15yr old son w/ low WBC,Neutrophil,Monocytes


 c12365 - Tue Aug 10, 2010 1:18 pm

15yr old son had annual physical. blood work came back as follows with ranges:
going back to re-do test
son is very athletic and lean.
takes vitamins regular
lots and lots of running
eats light
WBC only was aparently low last year but no followup
how concerned should we be?
what would likely be the next steps should the test repeat?
any other comments


WBC measured 3.4 range 4.5-13 low
Neutrophil 49.8%
Absolute Neutrophil 1693 1800-8000 low
Lymphs 43.7%
Absolute Lymphocyte 1486 1200-5200
Monocytes 3.6%
Absolute Monocytes 122 200-900 low
Eosinophil 2.4%
Basophil 0.5%

RBC 4.86 4.1-5.7
Hemoglobin 14.6 12-16.9
Hematocrit 43.1 36-49
MCV 88.8 78-98
MCH 30 25-35
MCHC 33.8 31-36
RDW 14.7 11-15

Platelet 114 140-400
 Dr.M.jagesh kamath - Thu Aug 12, 2010 2:50 am

User avatar Hello,Your son's blood parameters though they show some variations do not show any overt abnormality.An absolute neutrophil count when it goes below 1500 needs scrutiny and might get classified as mild neutropenia.Blacks have a lower ANC value.The presentation for neutropenia is presenting with infections.Chronic benign neutropenias familial and non familial are known.These are not problematic.Drugs can induce neutropenia.Immunologic neutropenias,congenital syndromes could also present this in part.Reduction in monocyte values again could lead to infection states.
A repeat test may be done but in the absence of any clinical finding may not be of significance.However do consult your doctor who can give you a better correlation.
Best wishes.

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