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May 25, 2012
 

Lymphocytosis - What could be the cause?

Dear Ask The Doctor: Hi doctor for the past 1 month i have been experiencing several symptoms. 1. Lumps in underarm,neck and lower back 2. Slight pain,burning sensation and itching around under arm area 3. Fatigue especially after eating a meal and taking bath 4. weight loss- around 2.5 kgs 5. Sometimes experience a sharp pain on upper back in the right side 6. Veins visible in chest and underarm area 7. Groin pain sometimes 8. 6 months back i had an unexplained bruising with acute pain on my right hand which got normal after some treatment. 9. 20 days back had an inflammation in right chest with pain however this pain has also gone now. 10. I had a thyroid and ESR test done which came normal, but my CBC shows elevated levels of Hemoglobin and WBC with absolute lymphocyte count. Below are details of my CBC. Hemoglobin-17.4g per dl PCV-52.30 Percent RBC 5.5mill per mm3 TLC- 9.5 thousand per mm3 DLC and ALC neutrophils- 38.60 Percent, 3.69 thousand per mm3 Lymphocytes- 49.50Percent, 4.72 thousand per mm3 Monocytes - 6.30Percent, .60 thousand per mm3 Eosinophils- 5Percent. .48 thousand per mm3 Basophils- .6Percent, .06 thousand per mm3 Just to tell you i didnt have any infection in the last 2-3 months and i rarely get any fever. Please tell me whether there is some serious problem in my body.

Dear Puneet: I do understand you concern, and although your symptoms may suggest of an underlying pathology, we may need to investigate further to get to the cause. Your blood-work suggests of lymphocytosis. This can be caused by various conditions like infections, Crohn's and ulcerative colitis, vasculitis, hyperthyroidism, connective tissue disorders and leukemia. Your symptoms of easy bruising may also be indicative of vasculitis. I would suggest that you consult your doctor in this regard and follow up with regular blood-work every 6 months.

Last Updated ( Friday, 25 November 2011 )
 

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