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What Causes Neutrophil Percentage To Be High?

Posted on Mon, 8 Sep 2014

Question: My rheumatologist, whom I see for SLE, does regular blood work and has noticed that on my last 3 blood tests (4-2014 to 8-2014), my lymphocyte % and lymphocyte # have been low (from looking at the most recent labs % = 8.5 and # = .4). I had breast cancer in 2009-2010 & was treated by mastectomy, chemo then radiation...no breast cancer currently. I try not to worry, but I'm very frightened as to what these low lymphocyte numbers could mean. I also notice that the Neutrophil % is high during the same period. I haven't had any fevers or infections during the same time period either.

What could it be? What type of doctor would I be referred to? Any idea as to what type of treatment I might receive?

Thank you very much.
XXXXXXX XXXX

Answered by Dr. Dr.Raju.A.T (7 hours later)

Brief Answer:
Please attach the reports

Detailed Answer:
Hi,

Thanks for your query.

I would like to have a look at the reports.

Please do attach the reports here.

Waiting for your response,

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr.Raju.A.T (18 hours later)

Sir:
I have uploaded the first 2 pages of my most recent labs. The 3rd page is a cancelled UA which I will have done in 2 weeks in addition to the labs.

Please let me know if you need any other information. Thank you very much.
XXXXXXX XXXX

Answered by Dr. Dr.Raju.A.T (2 hours later)

Brief Answer:
Vitamin B 12 deficiency and bacterial infection

Detailed Answer:
Hi,

Thanks for the reports.

I have gone through both the reports you attached here.

High neutrophil count and relative low lymphocyte count indicate bacterial infection in some part of the body. The infection may be subclinical or in its initial stages so as to produce specific symptoms. A detailed physical examination may help to identify the locus of infection.

Also, the MCV and MCH are raised this indicates possibilities of Megaloblastic anemia which occurs due to Vitamin B 12 deficiency. I suggest you to get the Vit B 12 levels checked and if low to take supplements.

For both above problems you may have to consult a Internal medicine specialist.

Hope, I answered your query.

Wish you good health.

Regards,

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Dr.Raju.A.T (50 minutes later)

Sir,

Thank you very much for your help. It will give me the information I need to discuss with my Primary physician with whom I have an appointment very soon. You may also have alleviated some concerns of my own.

Thank you again, and have a good day.
XXXXXXX XXXX

Answered by Dr. Dr.Raju.A.T (1 hour later)

Brief Answer:
You are welcome

Detailed Answer:
Thanks for using this service.

regards,

Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Raju A.T