
What Does This Blood Report Indicate?

Considerations
Detailed Answer:
hello and thank you for sending the question.
This type of situation is a very common reason for referral to hematologists. Your white blood cell count has been mildly decreased from the results you have shared with me. It is important to note that your hemoglobin and your platelet count are normal. This generally indicates that a primary process involving your bone marrow is unlikely. This could simply be an auto immune process that causes a mild decrease in your white blood cell count.
However, if this continues to cause you significant stress and anxiety I would recommend asking for the bone marrow biopsy which would help to completely rule out any issue with your bone marrow that could cause low white blood cell count.
I assume that your doctors have checked other labs including vitamin B 12 and folic acid levels which can sometimes contribute to a low white blood cell count.
Again I do not suspect that you have anything like leukemia or lymphoma but if you would like the extra level of reassurance then a bone marrow biopsy would be worthwhile.
Thanks again for sending your question.
Sincerely,
Dr. Galamaga


Follow up
Detailed Answer:
thanks for the follow-up question.
Those percentages are measurement of the different types of white blood cells that are circulating through your bloodstream. Each type of white blood cell plays a particular role in the function of the immune system. You have normal numbers of these particular cells. It is just your total white blood cell company is low.
Again it's reasonable to wait and I do not see a strong indication for bone marrow biopsy right now. However if you continue to have severe anxiety and worries then it might be a reasonable consideration for you to discuss with your doctor.
Thanks again for sending your question.
Dr. Galamaga


Follow up
Detailed Answer:
hello and thanks for the additional information.
What I meant to say was that it is only your total white blood cell count that is low. Do you have adequate amounts of the various types of white blood cells to maintain adequate immune function. Again your white blood cell count is not dangerously low and very likely does not represent a worry some disease process.
it is possible that your history of multiple sclerosis and long-term use of Avonex May play a role here but again I do not see major concern or immediate need to perform a bone marrow biopsy.
It might be reasonable to continue check your blood count every 4 to 6 months for stability. Lastly as I mentioned earlier if the degree of anxiety that you have is too much to handle and you could proceed and request a bone marrow biopsy to give definitive proof that your bone marrow is otherwise normal.
sincerely,
Dr. Galamaga

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