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Family Medicine (Expert Forum)
low wbc
Answered by
J.M. Keyes, MD - Family Medicine
Gainesville - FL
Questions in the Family Medicine forum are answered by Dr. J.M. Keyes. Topics covered include general health issues, adolescence, babies, child health, eating disorders, fitness, immunizations and vaccines, infectious diseases, medical tests and procedures, and senior health.
low wbc
by tmzachary, Mar 28, 2009 04:52PM
Hello, I just got the result for a routine CBC for my son who is 20 months old. They are as follows. We received a note from his pediatrician saying things look fine.Should I look further into his results? He hasn't been sick recently.
Component Value Range
WBC 3.9 (*) 5.5-19.0(K/UL)
RBC, auto 4.34 3.7-5.30 (MIL)
HGB 10.8 10.5-13.5(G/DL)
HCT 33.0 33-39 (%)
MCV 76 70-86 (CMICRON)
MCH 24.9 23-31 (PG)
MCHC 32.7 30-36(GM/DL)
RDW, BLOOD 15.6(*) 12-15.4(%)
PLATELETS 313 140-440(K/UL)
NEUTROPHILS SEGMENTED %, BLD 23.0 -(%)
BANDS % 1.0 -(%)
LYMPHOCYTES % 65 -(%)
MONOS % 8.0 -(%)
EOSINOPHILS % 2.0 -(%)
BASOPHILS 1.0 -(%)
NEUTROPHILS .94(*) 1.2-6.7(x1000)
LYMPHOCYTES 2.54 -(x1000)
MONOCYTES 0.31 0.0-0.8(x1000)
EOSINOPHILS 0.08 0.0-0.7(x1000)
BASOPHILS 0.04 0.0-0.1(x1000)
1+microcyte,occ. ovalocytes,occ teardrop cells
Component Value Range
WBC 3.9 (*) 5.5-19.0(K/UL)
RBC, auto 4.34 3.7-5.30 (MIL)
HGB 10.8 10.5-13.5(G/DL)
HCT 33.0 33-39 (%)
MCV 76 70-86 (CMICRON)
MCH 24.9 23-31 (PG)
MCHC 32.7 30-36(GM/DL)
RDW, BLOOD 15.6(*) 12-15.4(%)
PLATELETS 313 140-440(K/UL)
NEUTROPHILS SEGMENTED %, BLD 23.0 -(%)
BANDS % 1.0 -(%)
LYMPHOCYTES % 65 -(%)
MONOS % 8.0 -(%)
EOSINOPHILS % 2.0 -(%)
BASOPHILS 1.0 -(%)
NEUTROPHILS .94(*) 1.2-6.7(x1000)
LYMPHOCYTES 2.54 -(x1000)
MONOCYTES 0.31 0.0-0.8(x1000)
EOSINOPHILS 0.08 0.0-0.7(x1000)
BASOPHILS 0.04 0.0-0.1(x1000)
1+microcyte,occ. ovalocytes,occ teardrop cells
Doctor's Answer
by J.M. Keyes, MD, Mar 28, 2009 06:49PM
, Mar 28, 2009 06:49PMTo: tmzachary
Hi,
If your son has been feeling fine, these slightly abnormal values are likely nothing to be worried about. The abnormally shaped red blood cells (teardrops etc) are usually related to some kinds of anemia, but he has only a few of them, and his rbcs/Hb,Hct are normal. Your pediatrician would have experience dealing with lab results for children, so I would not be concerned. If you want peace of mind, you could ask your pediatrician if he/she thinks a repeat would be warranted in a few months to see if there are any changes.
Good luck,
JMK MD
If your son has been feeling fine, these slightly abnormal values are likely nothing to be worried about. The abnormally shaped red blood cells (teardrops etc) are usually related to some kinds of anemia, but he has only a few of them, and his rbcs/Hb,Hct are normal. Your pediatrician would have experience dealing with lab results for children, so I would not be concerned. If you want peace of mind, you could ask your pediatrician if he/she thinks a repeat would be warranted in a few months to see if there are any changes.
Good luck,
JMK MD
