Abnormal percentage of white blood cell differential?
Hello Doctor: My lab report shows the following abnormalities: Neutrophil %: 77.4 (reference range: 41.7-73.7%); Lymphocyte %: 14.8 (reference range: 18.4-45.0%); Eosinophil %: 0.6 (reference range: 0.7-8.1%); Globulin: 2.60 (reference range: 2.8-3.8 g/dL); Other [Urine Sediment] Mucus; Arteriosclerosis screening: Stage II.
The report recommends seeing a family medicine specialist.
Since I am currently seeing a rheumatologist and taking Belimumab (one tablet every two days), should I see a family medicine doctor or show the report to my rheumatologist?
Claire, 40~49 year old female. Ask Date: 2019/07/08
Dr. Cai Dongqi reply Family Medicine
Hello, it is recommended that you provide a report for your ongoing physician to evaluate, so they can determine whether a referral or consultation for treatment is necessary.
Reply Date: 2019/07/08
More Info
Understanding abnormal white blood cell percentages and when to consult a family medicine physician can be crucial for managing your health effectively. Based on the information provided in your lab report, it appears that you have elevated neutrophil percentages (77.4%), decreased lymphocyte percentages (14.8%), and slightly low eosinophil percentages (0.6%). Additionally, your globulin level is slightly below the normal range (2.60 g/dL).
Elevated neutrophils can indicate several conditions, including acute infections, inflammation, or stress responses. Neutrophils are a type of white blood cell that plays a critical role in the immune response, particularly in fighting off bacterial infections. A neutrophil percentage above the normal range can suggest that your body is responding to an infection or some form of stress.
On the other hand, low lymphocyte percentages can be concerning as they are essential for the adaptive immune response, which helps your body fight off viruses and other pathogens. A decrease in lymphocytes can be associated with various conditions, including viral infections, autoimmune diseases, or even certain types of cancer.
Given that you are already under the care of a rheumatologist and taking medication (likely for an autoimmune condition), it is essential to communicate these lab results to your rheumatologist. They can provide insight into whether these changes in your blood work are related to your current condition or treatment.
As for whether you should consult a family medicine physician, it depends on your overall health status and any additional symptoms you may be experiencing. Family medicine physicians can provide comprehensive care and may help coordinate your treatment among various specialists. If you have concerns about your immune system or if you are experiencing new symptoms, such as fatigue, fever, or recurrent infections, it would be prudent to consult with your family medicine doctor. They can perform a thorough evaluation and determine if further testing or referrals to other specialists are necessary.
In summary, while your current care with the rheumatologist is essential, it is also beneficial to keep an open line of communication with your family medicine physician. They can help manage your overall health and ensure that all aspects of your care are aligned. If you notice any changes in your health or have concerns about your lab results, do not hesitate to reach out to your healthcare providers for guidance.
In addition to consulting with your healthcare providers, it is also advisable to maintain a healthy lifestyle, including a balanced diet, regular exercise, and adequate sleep, as these factors can significantly impact your immune function and overall well-being. If you have any specific questions or concerns about your condition or treatment, please feel free to ask your healthcare team for more personalized advice.
Similar Q&A
Understanding Abnormal White Blood Cell Counts: What You Need to Know
Hello Dr. Liao: Recently, after a health check-up, I found that two values in the report were abnormal: Neutrophil percentage (Neu%) 28.5 (normal range: 40-75%) and Lymphocyte percentage (Lym%) 59.9 (normal range: 20-50%). I did not have any cold or take any medication before the...
Dr. Liao Yaopan reply Family Medicine
Hello, regarding your inquiry, the white blood cell count and differential should be interpreted together. The classification of each type of white blood cell is presented as a percentage, totaling 100%. Therefore, if you have any concerns, it is advisable to consult your family ...[Read More] Understanding Abnormal White Blood Cell Counts: What You Need to Know
Understanding Abnormal White Blood Cell Counts: What You Need to Know
Hello Doctor, I have a few years of health check reports showing two items in the white blood cell count highlighted in red. My neutrophil percentage has been below the normal range, last year it was 35.4%; the lymphocyte percentage was above the normal value at 52.5%. Last year,...
Dr. Liao Yaopan reply Family Medicine
Hello, it is difficult to draw direct conclusions from partial data, and changes in these ratios do not necessarily indicate specific issues. If necessary, please consult a hematologist for evaluation. Please note that online consultations are not equivalent to in-person visits a...[Read More] Understanding Abnormal White Blood Cell Counts: What You Need to Know
Understanding Abnormal Blood Test Results: When to Seek Further Evaluation
About two years ago, a medical examination revealed low white blood cell counts. However, in July of last year, all five types of white blood cells were normal. At that time, my family medicine doctor explained that some individuals naturally have lower white blood cell counts, a...
Dr. Xiao Yongxun reply Family Medicine
Dear Ms. Lin: 1. Leukopenia refers to a decrease in the number of white blood cells in the blood; the most common form of leukopenia is neutropenia, while lymphopenia is less common. Common causes of leukopenia include aplastic anemia, megaloblastic anemia, autoimmune diseases,...[Read More] Understanding Abnormal Blood Test Results: When to Seek Further Evaluation
Understanding Abnormal WBC Levels in Children's Health Check Reports
Hello Doctor: I recently received my son's health check report, and there is a highlighted WBC count of 3.3. Should I consult a family medicine physician or a hematologist?
Dr. Chen Bozhang reply Family Medicine
Hello Xiao Wu: Your white blood cell count is low. It is recommended that you visit a family medicine or general internal medicine clinic for further monitoring and evaluation. If there are any issues, the physician can refer you to a hematology specialist. This response is from ...[Read More] Understanding Abnormal WBC Levels in Children's Health Check Reports
Related FAQ
(Family Medicine)
Anemia(Family Medicine)
Blood Test(Family Medicine)
Lymphadenitis(Family Medicine)
White Blood Cells(Cardiology)
Platelets(Family Medicine)
Fever(Family Medicine)
Health Check-Up Report(Family Medicine)
Medical Consultation(Family Medicine)
Hyperlipidemia(Family Medicine)