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High WBC and Lymphocyte Counts
My father, age 79, has CLL.  He lives alone in another state and his doctors are difficult for me to get a hold of.  He just began treatment with Treanda and after the first treatment his lymphocyte count went from 187.00 to 192.00.  His white blood cell count went from 217.00 to 210.00, but they are more concerned with the lymphocyte count at the present time.  These counts seem incredibly high to me, compared with the counts I've seen posted here.  Anyone have any information for me about these counts?  I greatly appreciate any input you can give me.
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Hi.

The high lymphocyte count is really a feature of this disease as well as the high white blood counts.  The fact that the repsponse to treatment is minimal (white counts did not fall dramatically), I would suggest that you discuss with his doctors regarding changing the treatment protocol.  The dangers of chronically having increased white counts include a condition called 'hyperviscosity syndrome' where in blood flow becomes sluggish that organs become affected.  This may lead to stroke, renal failure and a lot more constitutional signs and symptoms.

I suggest you discuss the option of shifting protocols with her doctors.  For now make sure he remains adequately hydrated to avoid hyperviscosity.

Regards.
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