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What Causes Raised Eosinophil Count In A Diabetic Person?
Question: I've been having viral type symptoms (basically a cold) since the end of July, approximately 4.5 months. My two chest x-rays have come back clear, but I also have low-grade fever intermittently, a productive cough, fatigue, and occasional chest discomfort when I go for a run.
My clinicians have diagnose everything from a viral syndrome, to acid reflex, to heart attack and now the latest that it's only allergies. My blood work up from yesterday (12.11.14) came back with high levels of
eosinophils and basophils which I understand indicates allergies. But I also read that it could indicate a viral infection to cancer.
I feel that I have some type of viral infection. I've had seasonal allergies since I was 10 years old (I'm 61 years old) and I've never had these symptoms especially for four and half months. And I certainly do not have acid reflux. Let me add that I am a diabetic which under control and had chronic bronchitis from infancy until my late teens. Otherwise, I'm in good health for my age, I don't drink or smoke and I'm a runner and walker. I'm a graduate student in a master in public policy program and commute to school which is 3 hours each way and under the usual stress a non-traditional graduate student would have.
My clinicians have diagnose everything from a viral syndrome, to acid reflex, to heart attack and now the latest that it's only allergies. My blood work up from yesterday (12.11.14) came back with high levels of
eosinophils and basophils which I understand indicates allergies. But I also read that it could indicate a viral infection to cancer.
I feel that I have some type of viral infection. I've had seasonal allergies since I was 10 years old (I'm 61 years old) and I've never had these symptoms especially for four and half months. And I certainly do not have acid reflux. Let me add that I am a diabetic which under control and had chronic bronchitis from infancy until my late teens. Otherwise, I'm in good health for my age, I don't drink or smoke and I'm a runner and walker. I'm a graduate student in a master in public policy program and commute to school which is 3 hours each way and under the usual stress a non-traditional graduate student would have.
Brief Answer:
Share your reports.
Detailed Answer:
Dear Friend.
Welcome To HCM. I am Dr Anshul Varshney.
I understand your concern.
See, raised Eosinophil count in a Diabetic person is mostly due to allergy. As far as cancer is concerned, it is suspected if levels are abnormally very high.
So I want to see your blood reports.
Also, tell me following:
1. How high are your blood sugar levels?
2. What medications you are taking for diabetes?
3. Any recurrent loose stools? Or Constipation?
4. Any weight loss?
5. Is the Allergic problem still persisting?
6. Any recurrent oral ulcers?
Revert with these details and attach the investigations.
Stay Healthy.
Share your reports.
Detailed Answer:
Dear Friend.
Welcome To HCM. I am Dr Anshul Varshney.
I understand your concern.
See, raised Eosinophil count in a Diabetic person is mostly due to allergy. As far as cancer is concerned, it is suspected if levels are abnormally very high.
So I want to see your blood reports.
Also, tell me following:
1. How high are your blood sugar levels?
2. What medications you are taking for diabetes?
3. Any recurrent loose stools? Or Constipation?
4. Any weight loss?
5. Is the Allergic problem still persisting?
6. Any recurrent oral ulcers?
Revert with these details and attach the investigations.
Stay Healthy.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
My daily morning glucose levels range from 110 to 130 with occasional outliers of 199.
Metformin HCL 1000 MG twice a day
Glyburide 2,5 MG in the morning
Lisinopril 10 MG once a day
Simvastatin 20 MG at bedtime
No loose stools or constipation
No weight lose (a little weight gain because I haven't exercise [running/walking] on a regular basis because of not feeling well or the weather.
I was prescribed allergy medication just yesterday (12.11.14), but have been suffering viral or allergy like symptoms since July 25, 2014.
No oral ulcers.
BLOOD REPORT
Tests: (2) General Health Panel (200)
Order Note: Contents of General Health Panel I:
Comprehensive Metabolic Panel (CPT-80053)
Complete CBC auto and auto diff WBC count (CPT-85025)
Thyroid Stimulating Hormone (CPT-84443)
White Blood Count 5.6 x1000/uL 4.0-10.5
Red Blood Cell Count [L] 4.03 mil/uL 4.20-5.40
Hemoglobin 12.0 g/dL 12.0-16.0
Hematocrit 36.6 % 36.0-46.0
MCV 91.0 fL 80.0-100.0
MCH 29.7 pg 26.0-34.0
MCHC 32.7 g/dL 31.0-37.0
Platelet Count 298 x1000/uL 130-400
! MPV [L] 6.1 7.0-11.0
! RDW 11.8 % 0.0-15.0
Neutrophils 54.8 % 45.0-70.0
Lymphocytes 27.0 % 20.0-44.0
Monocytes 6.1 % 2.0-12.0
Eosinophils [H] 9 % 0-4
Basophils [H] 3 % 0-2
Neutrophils # 3.1 1000/uL 1.8-7.0
Lymphocytes # 1.5 1000/uL 1.0-4.0
Monocytes # 0.3 1000/uL 0.0-0.8
Eosinophils # [H] 0.5 1000/uL 0.0-0.5
Basophils # 0.2 1000/uL 0.0-20.0
TSH Third Generation Ultra
1.24 uIU/mL 0.51-6.27
Euthyroid range 0.51-6.270 muIU/mL.
A value of <0.01 muIUmL often indicates XXXXXXX hyperthyroidism.
Values between 0.01-0.51 muIU/mL may be on a thyroidal or non thyroidal basis and require further evaluation.
Values above 6.270 muIU/mL suggust hypothyroid states.
Glucose [H] 202 mg/dL 65-99
BUN 17 mg/dL 6-23
Creatinine 0.9 mg/dL 0.5-1.4
eGFR If Non Africn Am
69.0 mL/min >59.0
Please Note: The eGFR calculation has changed to CKD-EPI from MDRD that may result in higher more accurate estimated GFR levels in patients with impaired renal function. The reportable range is now up to 90 ml/min
! EGFR IF Africn AM 80.0 mL/min/1.73 >59.0
Please Note: The eGFR calculation has changed to CKD-EPI from MDRD that may result in higher more accurate estimated GFR levels in patients with impaired renal function. The reportable range is now up to 90 ml/min
Sodium 140 mEq/L 135-145
Potassium 4.7 mEq/L 3.5-5.5
Chloride 102.0 mEq/L 96.0-106.0
Carbon Dioxide 27 mEq/L 21-32
Calcium 9.8 mg/dL 8.2-10.1
Total Protein 7.9 g/dL 6.4-8.2
Albumin 4.1 g/dL 3.4-5.0
Total Bilirubin 0.2 mg/dL 0.0-1.3
Alkaline Phosphatase 118 U/L 30-150
SGPT (ALT) 38 U/L 20-60
SGOT (AST) 12 U/L 10-40
Note: An exclamation mark (!) indicates a result that was not dispersed into the flowsheet.
Thank you, XXXXXXX
Metformin HCL 1000 MG twice a day
Glyburide 2,5 MG in the morning
Lisinopril 10 MG once a day
Simvastatin 20 MG at bedtime
No loose stools or constipation
No weight lose (a little weight gain because I haven't exercise [running/walking] on a regular basis because of not feeling well or the weather.
I was prescribed allergy medication just yesterday (12.11.14), but have been suffering viral or allergy like symptoms since July 25, 2014.
No oral ulcers.
BLOOD REPORT
Tests: (2) General Health Panel (200)
Order Note: Contents of General Health Panel I:
Comprehensive Metabolic Panel (CPT-80053)
Complete CBC auto and auto diff WBC count (CPT-85025)
Thyroid Stimulating Hormone (CPT-84443)
White Blood Count 5.6 x1000/uL 4.0-10.5
Red Blood Cell Count [L] 4.03 mil/uL 4.20-5.40
Hemoglobin 12.0 g/dL 12.0-16.0
Hematocrit 36.6 % 36.0-46.0
MCV 91.0 fL 80.0-100.0
MCH 29.7 pg 26.0-34.0
MCHC 32.7 g/dL 31.0-37.0
Platelet Count 298 x1000/uL 130-400
! MPV [L] 6.1 7.0-11.0
! RDW 11.8 % 0.0-15.0
Neutrophils 54.8 % 45.0-70.0
Lymphocytes 27.0 % 20.0-44.0
Monocytes 6.1 % 2.0-12.0
Eosinophils [H] 9 % 0-4
Basophils [H] 3 % 0-2
Neutrophils # 3.1 1000/uL 1.8-7.0
Lymphocytes # 1.5 1000/uL 1.0-4.0
Monocytes # 0.3 1000/uL 0.0-0.8
Eosinophils # [H] 0.5 1000/uL 0.0-0.5
Basophils # 0.2 1000/uL 0.0-20.0
TSH Third Generation Ultra
1.24 uIU/mL 0.51-6.27
Euthyroid range 0.51-6.270 muIU/mL.
A value of <0.01 muIUmL often indicates XXXXXXX hyperthyroidism.
Values between 0.01-0.51 muIU/mL may be on a thyroidal or non thyroidal basis and require further evaluation.
Values above 6.270 muIU/mL suggust hypothyroid states.
Glucose [H] 202 mg/dL 65-99
BUN 17 mg/dL 6-23
Creatinine 0.9 mg/dL 0.5-1.4
eGFR If Non Africn Am
69.0 mL/min >59.0
Please Note: The eGFR calculation has changed to CKD-EPI from MDRD that may result in higher more accurate estimated GFR levels in patients with impaired renal function. The reportable range is now up to 90 ml/min
! EGFR IF Africn AM 80.0 mL/min/1.73 >59.0
Please Note: The eGFR calculation has changed to CKD-EPI from MDRD that may result in higher more accurate estimated GFR levels in patients with impaired renal function. The reportable range is now up to 90 ml/min
Sodium 140 mEq/L 135-145
Potassium 4.7 mEq/L 3.5-5.5
Chloride 102.0 mEq/L 96.0-106.0
Carbon Dioxide 27 mEq/L 21-32
Calcium 9.8 mg/dL 8.2-10.1
Total Protein 7.9 g/dL 6.4-8.2
Albumin 4.1 g/dL 3.4-5.0
Total Bilirubin 0.2 mg/dL 0.0-1.3
Alkaline Phosphatase 118 U/L 30-150
SGPT (ALT) 38 U/L 20-60
SGOT (AST) 12 U/L 10-40
Note: An exclamation mark (!) indicates a result that was not dispersed into the flowsheet.
Thank you, XXXXXXX
Brief Answer:
This copy paste massage is confusing.
Detailed Answer:
Dear XXXXXXX
The copy paste massage is very confusing. I request you to please attach the reports. Let me study them.
This copy paste massage is confusing.
Detailed Answer:
Dear XXXXXXX
The copy paste massage is very confusing. I request you to please attach the reports. Let me study them.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I thought I had copied and paste the report. I can't attach the report because it's embedded within a secured portal. The report was not sent to me as an attachment.
Brief Answer:
Get treatment for allergy.
Detailed Answer:
Dear Friend.
What I could get from your reports is that you have Allergic issues.
You need to continue with Anti Allergic medicines and anti Diabetic medicines
Nothing else is required.
Stay Healthy.
Get treatment for allergy.
Detailed Answer:
Dear Friend.
What I could get from your reports is that you have Allergic issues.
You need to continue with Anti Allergic medicines and anti Diabetic medicines
Nothing else is required.
Stay Healthy.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I don't know if the below was included in my previous message, but I hope this is helpful. As I mentioned in my previous note, I don't have an attachment to send.
Red Blood Cell Count, 4.03 MIL/UL, (F) expected units: 10*6/mm3
MCHC, 32.7 G/DL, (F) expected units: %
Neutrophils #, 3.1 1000/UL, (F) expected units: K/uL
Lymphocytes #, 1.5 1000/UL, (F) expected units: 10*3/mm3
Monocytes #, 0.3 1000/UL, (F) expected units: K/uL
Eosinophils #, 0.5 1000/UL, (F) expected units: K/uL
Basophils #, 0.2 1000/UL, (F) expected units: K/uL
Sodium, 140 MEQ/L, (F) expected units: mmol/L
Potassium, 4.7 MEQ/L, (F) expected units: mmol/L
Chloride, 102.0 MEQ/L, (F) expected units: mmol/L
Carbon Dioxide, 27 MEQ/L, (F) expected units: mmol/L
Red Blood Cell Count, 4.03 MIL/UL, (F) expected units: 10*6/mm3
MCHC, 32.7 G/DL, (F) expected units: %
Neutrophils #, 3.1 1000/UL, (F) expected units: K/uL
Lymphocytes #, 1.5 1000/UL, (F) expected units: 10*3/mm3
Monocytes #, 0.3 1000/UL, (F) expected units: K/uL
Eosinophils #, 0.5 1000/UL, (F) expected units: K/uL
Basophils #, 0.2 1000/UL, (F) expected units: K/uL
Sodium, 140 MEQ/L, (F) expected units: mmol/L
Potassium, 4.7 MEQ/L, (F) expected units: mmol/L
Chloride, 102.0 MEQ/L, (F) expected units: mmol/L
Carbon Dioxide, 27 MEQ/L, (F) expected units: mmol/L
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