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What Does The Following Blood Test Report Indicate?
Question: Sir, I have done today my blood test for cbc and hiv test. Hiv test shows result non-reactive where as cbc shows wbc of 4000/cmm and platelets count of 127000/cmm and megaplatelets are seen on smear. Sir, is this all normal. I have attached reports also.
Brief Answer:
Mega platelets may be due to vitamin B12 or folate deficiency.
Detailed Answer:
Hello
Sometimes mega platelets can cause false low platelet count as large platelets may not be counted by machine.
So,you may need peripheral smear count.If peripheral smear platelet count is still low,then it may be due to vitamin B12 or folate deficiency.You may need assessment of these factors.
If it is ruled out then few disorders related to excess platelet destruction or reduced platelet production should be considered.
Bone marrow examination can be done if needed.
It is good that other factors related to blood are normal.
You may need evaluation by a hematologist.
WBC count is towards lower limit and it is not concerning.
It is good that HIV tests are negative.
Get well soon.
Hope I have answered your question.
Further queries are most welcome.
Take Care
Dr.Indu XXXXXXX
Mega platelets may be due to vitamin B12 or folate deficiency.
Detailed Answer:
Hello
Sometimes mega platelets can cause false low platelet count as large platelets may not be counted by machine.
So,you may need peripheral smear count.If peripheral smear platelet count is still low,then it may be due to vitamin B12 or folate deficiency.You may need assessment of these factors.
If it is ruled out then few disorders related to excess platelet destruction or reduced platelet production should be considered.
Bone marrow examination can be done if needed.
It is good that other factors related to blood are normal.
You may need evaluation by a hematologist.
WBC count is towards lower limit and it is not concerning.
It is good that HIV tests are negative.
Get well soon.
Hope I have answered your question.
Further queries are most welcome.
Take Care
Dr.Indu XXXXXXX
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Brief Answer:
There are almost no chance of false negative HIV report.
Detailed Answer:
Hello
There are almost no chance of false negative HIV report.Tests are highly sensitive and specific.
As you had exposure 6 months back,tests must been positive if you have had the disease.After 12 weeks,tests are highly specific.
I don't think you need repeat test.You are almost safe.
WBC count is not low.It is only towards lower limit.It can be considered as normal.
Get well soon.
Hope I have answered your question.
Further queries are most welcome.
Take Care
Dr.Indu XXXXXXX
There are almost no chance of false negative HIV report.
Detailed Answer:
Hello
There are almost no chance of false negative HIV report.Tests are highly sensitive and specific.
As you had exposure 6 months back,tests must been positive if you have had the disease.After 12 weeks,tests are highly specific.
I don't think you need repeat test.You are almost safe.
WBC count is not low.It is only towards lower limit.It can be considered as normal.
Get well soon.
Hope I have answered your question.
Further queries are most welcome.
Take Care
Dr.Indu XXXXXXX
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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