What Does My Blood Test Reports Indicate?

Posted on Wed, 21 Jan 2015

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Wed, 21 Jan 2015 Answered on

Wed, 18 Feb 2015 Last reviewed on

Question : Recent CBC showed eosinophil % at 16 and absolute count of 1.5. Should I undergo further investigation? I have had seasonal allergies all my life but EOS have never gone higher than 8%. The CBC prior to this last one showed them at 3% and .3 absolute. I also have hematuria, chronic active Epstein barr, fibromyalgia, peripheral neuropathy with demyelination and polyclonal gammopathy IGM. My PCP says my EOS are "normal" but I am worried and don't buy into all of these conditions being unrelated.

The 1.5 absolute EOS value noted above is via Labcorp: 1.5 x 10E3/uL, normal being below 0.4. I also failed to mention that my ALT has been consistently elevated with the latest number being 40, normal 0-32.

Answered by Dr. Jyothi B L (4 hours later)

Brief Answer:
Need to wait for specific symptoms and specific tests.

Detailed Answer:
Hi,
Thanks for asking.
I am Dr. Jyothi BL and I will be answering you query.
Based on your query, my opinion is as follows:

1. Yes, eosinophils are mildly elevated.
2. There are no symptoms specific to eosinophilia for further evaluation and at present no complications are being noticed.
3. Repeat test for eosinophils after 3 months, if still elevated, serum IgE levels can be evaluated.
4. ALT elevation is mild and mild elevation is seen as age progresses. As there is no raise of serum bilirubin, not to worry.
5. Stool examination for ova and parasites or a course of albendazole maybe helpful for now. Wait and watch would be better than going for a battery of tests as there are no specific symptoms of eosinophilia.

Hope it helps.
Any further queries, happy to help again.

Dr. Jyothi BL

Above answer was peer-reviewed by : Dr. Yogesh D