My 7 year old son has the same problems with his blood work. He has fluctuating Low WBC, his was down to 2.0 this summer! It ranges mosty in the 3-4 range and can go up as high as 11. His ANA is also extremely high, they didn't give me a ratio, just 5.2 as of right now. He hasnt' been diagnosed with anything, and I'm going crazy trying to figure out what to do now. I know there is something wrong, but I can't get any answers.
The reason my hematologist ordered that test was because she had recently done a blood flow cytometry and it showed something about the poly-clonal cd5 B-cell population which was suggestive of an auto-immune disorder. Also, with my neutrophil count always being lower then normal.
I'm curious about something..... If your health is norma" and you're relatively healthy, what prompted your doctor to order an ANA test? This is not a routine test that doctors just run on everybody. Most doctors will only run it if you have specific symptoms that point towards Lupus or another autoimmune disease.
Your ANA is very high, so I wouldn't be surprised at all if indeed you had an autoimmune disease. I'm not sure whether or not the neutropenia can cause a low white cell count. You may want to ask your physician if that is the case.