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  • Low WCC and Neutrophils

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    Old 08-17-2022, 05:38 PM   #1
    DLB013
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    Low WCC and Neutrophils

    Hi,

    I am wanting the opinion of others into the likely cause of these blood results. I am puzzled myself.
    To give some background - in 2011 - 2013 the Neutrophil count was 1.1 and WCC 3.8. Patient was told to just keep an eye on things. during 2015-2018 the blood counts returned to normal - Neutrophils were 3.3 and WCC 4.5. Now from 2019-2022 the neutrophils have once again dropped and remained around 1.3 and WCC 3.9 persistently. All other bloods are within normal limits. Patient has a history of high ferritin and iron associated with carrying a singular Hemochromatosis gene.

    Any ideas as to what might cause this persistent mild neutropenia?
    I am assuming nasty pathogens are unlikely since the bloods did return to normal for a while.
    Is it possible for the patient to have a slower growing CA such as CLL? I wouldn't think bloods would return to normal with something like this.

    Please share your ideas.

    Thanks

     
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    Old 09-20-2022, 08:19 PM   #2
    Shanesw
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    Re: Low WCC and Neutrophils

    It could be possible that your patient has a reoccurring EBV infection, the normal bloods would suggest a brief remission.

     
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    hematology, neutropenia, neutrophils



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