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How Serious Are The Recent ALC/Lymphocytes Counts ?
Posted on
Sat, 14 Nov 2020
Sat, 14 Nov 2020
Answered on
Wed, 7 May 2025
Last reviewed on
Question : How serious are the recent ALC/Lymphocytes counts below in the context of the current condition of a male in his early 70's? Could they be transient?
11/20 WBC 4.5 Thousand/uL; RBC 4.70 Million/uL; Neutrophils, absolute 3,560 cells/uL; Neutrophils 79.1%; Lymphocytes, absolute 477 cells/uL; Lymphocytes 10.6%. (Other CBC Differential counts in range; last test in 5/19 in range.)
Other CBC and CMP values in range. Lipid tests, PSA, and Testosterone in range.
Current condition: Stage 2 Kidney failure. Widespread Rheumatoid arthritis developed over last 12 months with ~ 5% body weight loss during that period; severe 1/20-7/20; improvement; moderate relapse 9/20-10/20: Prednisone 5 mg + Hydroxychloroquine bid 200 mg since May. Primary Hyperparathyroidism (test values out of range). Recent Urological infection: Doxycyxline 200 mg about 30 days (decades-long common problem). Gout. Hypertension. No COVID-19 indications.
11/20 WBC 4.5 Thousand/uL; RBC 4.70 Million/uL; Neutrophils, absolute 3,560 cells/uL; Neutrophils 79.1%; Lymphocytes, absolute 477 cells/uL; Lymphocytes 10.6%. (Other CBC Differential counts in range; last test in 5/19 in range.)
Other CBC and CMP values in range. Lipid tests, PSA, and Testosterone in range.
Current condition: Stage 2 Kidney failure. Widespread Rheumatoid arthritis developed over last 12 months with ~ 5% body weight loss during that period; severe 1/20-7/20; improvement; moderate relapse 9/20-10/20: Prednisone 5 mg + Hydroxychloroquine bid 200 mg since May. Primary Hyperparathyroidism (test values out of range). Recent Urological infection: Doxycyxline 200 mg about 30 days (decades-long common problem). Gout. Hypertension. No COVID-19 indications.
Brief Answer:
Low lymphocytes causes are explained below.
Detailed Answer:
Hello,
Low lymphocytes can be related to many medical conditions.
In this situation they can be related to two causes:
-The use of prednisone
-The presence of rheumatoid arthritis, which is an autoimmune disease.
In this case the changes in the blood count are completely normal.
Hope I have answered your query. Let me know if I can assist you further.
Kind regards!
Dr.Dorina Gurabardhi
General &Family Physician
Low lymphocytes causes are explained below.
Detailed Answer:
Hello,
Low lymphocytes can be related to many medical conditions.
In this situation they can be related to two causes:
-The use of prednisone
-The presence of rheumatoid arthritis, which is an autoimmune disease.
In this case the changes in the blood count are completely normal.
Hope I have answered your query. Let me know if I can assist you further.
Kind regards!
Dr.Dorina Gurabardhi
General &Family Physician
Above answer was peer-reviewed by :
Dr. Raju A.T
Brief Answer:
Low lymphocytes causes are explained below.
Detailed Answer:
Hello dear and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.
Low lymphocytes can be related to many medical conditions.
In this situation they can be related to two causes:
-The use of prednisone
-The presence of rheumatoid arthritis, which is an autoimmune disease.
In this case the changes in the blood count are completely normal.
Hope I have answered your query. Let me know if I can assist you further.
Kind regards!
Dr.Dorina Gurabardhi
General &Family Physician
Low lymphocytes causes are explained below.
Detailed Answer:
Hello dear and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.
Low lymphocytes can be related to many medical conditions.
In this situation they can be related to two causes:
-The use of prednisone
-The presence of rheumatoid arthritis, which is an autoimmune disease.
In this case the changes in the blood count are completely normal.
Hope I have answered your query. Let me know if I can assist you further.
Kind regards!
Dr.Dorina Gurabardhi
General &Family Physician
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Raju A.T
Answered by
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