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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Child Have Bruises On Legs. Blood Test Done. No Medication Till Now. CAn It Be Leukemia?

Hi. I just had my 11 month old daughter get a CBC to check if there is even a slight possibility that she has leukemia. I am very concerned about leukemia happening again in our family because my baby sister died of it more than 20 years.

We sent to the hospital because I saw 3 small "bruises" on her leg a week ago. They were pale brown, not the red-bluish bruise you get from a you get hit hard by something. My daughter started to walk a month ago and does not seem to mind falling and hurting herself just to reach what she wants grab. The bruises could have just been from her walking or crawling. She has no fever. Her appetite is good; no weight loss; no signs of weakness. But we were still worried.

From her CBC: RBC was normal (4.86 x 10^12/L), platelet was "adequate", but WBC elevated (14 x 10^9/L). I believe that should be about 14,000/ cubic mm. Blood morphology said "Smear shows slightly hypochromic, microcytic red blood cells. Platelets are adequate".

Should I be worried? I do not want to subject my daughter to a battery of tests for a witch hunt for leukemia. Thanks.
Tue, 30 Apr 2013
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General Surgeon 's  Response
Hi and welcome to HCm.
It is good to be caotious about childs health but hypochondria wont be helpful for you and her either.
Blood work is normal,slightly raised WBC means nothing or some healed respratory infection.
These bruises would be rlated to trombocytes and clooting factors and these are normal so she probbaly just got hit and you didnt notice. Leukemia is rare,you should visit doctor if you find something suspicous but spare your child of unnecessary blood testing everytime you notice fever, bruise or cough. Wish you good health.
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Pathologist and Microbiologist Dr. Sangita's  Response
Hello,

Your daughter is having bruise which may be due to fall or any minor trauma .you can follow it closely whether colour of it returns to normal or not .Her platelet count is normal. So chances of bruising due to low platelet is very low. Normal range of TLC WBC is upto 16000 /cumm. You should not worry as your daughter has no other symptoms.
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Child Have Bruises On Legs. Blood Test Done. No Medication Till Now. CAn It Be Leukemia?

Hi and welcome to HCm. It is good to be caotious about childs health but hypochondria wont be helpful for you and her either. Blood work is normal,slightly raised WBC means nothing or some healed respratory infection. These bruises would be rlated to trombocytes and clooting factors and these are normal so she probbaly just got hit and you didnt notice. Leukemia is rare,you should visit doctor if you find something suspicous but spare your child of unnecessary blood testing everytime you notice fever, bruise or cough. Wish you good health.