Abnormal Blood Test Results: What You Need to Know - Family Medicine

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Health check-up


Doctor: Hello, last month our company conducted a health check, and two items in my blood test showed abnormal results.
I'm not sure if this indicates any disease, but I don't feel unwell; I just have been experiencing persistent acne lately.
I recently went for a follow-up, but the results were similar, with those two items still showing abnormal results.
What should I do?
WBC: 5970 /µL
RBC: 5,180,000 /µL
HGB: 16.4 g/dL
HCT: 45%
MCV: 87.3 fL
MCHC: 36.3 g/dL
PLT: 183,000 /µL
% Neutrophils: 78.3 +
% Lymphocytes: 14.6 -
% Monocytes: 4.9
% Eosinophils: 1.7
% Basophils: 0.5

Xiao Jie, 20~29 year old female. Ask Date: 2007/08/24

Dr. Chen Jianzhi reply Family Medicine


Mr.
Xiao Jie: Your test results are normal.
This test is called a Complete Blood Count (CBC), which primarily checks for abnormalities in the number of red blood cells (RBC), white blood cells (WBC), hemoglobin (HGB), and platelets (PLT).
All your reported values are well within the normal range.
As for SEG and LYMPH, these refer to the percentage of neutrophils and lymphocytes among the total white blood cell count, and they are usually considered for further diagnostic reference only when there are abnormalities in the white blood cell count.
The functions of neutrophils and lymphocytes are dynamically adjusted, and slight deviations from the reference range do not indicate any illness and are not related to acne on your face, so please rest assured!

Reply Date: 2007/08/24

More Info


Understanding abnormal blood test results can often be a source of concern, especially when the results indicate values outside the normal range. In your case, the blood test results show two parameters highlighted in red, which typically indicates that they are outside the normal reference range. However, it is important to interpret these results in the context of your overall health and any symptoms you may be experiencing.

From the values you provided, your white blood cell count (WBC) is 5970 /µL, which falls within the normal range (typically 4,000 to 11,000 /µL). Your red blood cell count (RBC) is 5,180,000 /µL, also within the normal range (4.5 to 6 million /µL for men, and 4 to 5.5 million /µL for women). Hemoglobin (HGB) at 16.4 g/dL and hematocrit (HCT) at 45% are also normal, indicating that your red blood cells are functioning well in terms of oxygen transport.

The mean corpuscular volume (MCV) of 87.3 fL and mean corpuscular hemoglobin concentration (MCHC) of 36.3 g/dL are also within normal limits, suggesting that your red blood cells are of normal size and concentration of hemoglobin. Your platelet count (PLT) at 183,000 /µL is also within the normal range (150,000 to 450,000 /µL).

However, the differential white blood cell count shows that your segmented neutrophils (SEG%) are at 78.3%, which is slightly elevated. Normal values for segmented neutrophils typically range from 40% to 74%. An elevated neutrophil count can indicate several conditions, including acute infection, inflammation, or stress. It is also common to see elevated neutrophils in response to physical stress, such as illness or injury.

Your lymphocyte percentage (LYMPH%) is at 14.6%, which is lower than the typical range of 20% to 40%. Lymphocytes are crucial for your immune response, and a low percentage can be seen in various conditions, including acute infections or stress responses.
The monocyte percentage (MONO%) at 4.9% is within the normal range (2% to 8%), and eosinophils (EOSIN%) at 1.7% and basophils (BASO%) at 0.5% are also normal.
Given that you mentioned experiencing acne breakouts, it is worth noting that skin conditions can sometimes be linked to underlying hormonal changes or stress, which could also influence your blood test results. Stress can lead to an increase in neutrophils and a decrease in lymphocytes, reflecting the body's response to perceived threats.

Since you are not experiencing any significant symptoms beyond the acne, it may be beneficial to monitor your condition and consider lifestyle factors that could be contributing to your skin issues, such as diet, hydration, stress levels, and skincare routine.
If the elevated neutrophil count persists or if you develop any new symptoms, it would be prudent to follow up with your healthcare provider for further evaluation. They may recommend additional tests or a referral to a specialist, depending on your overall health and any changes in your condition.

In summary, while your blood test results show some variations, they do not indicate any immediate cause for concern, especially since you are not experiencing significant symptoms. Regular monitoring and a focus on overall health and wellness can help you manage any potential issues effectively.

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