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I was scared and freaking out very badly. High lymphocytes at 5.1
Two months ago, I had a CBC test for a regular checkup. I had no symptoms, no pain, or anything at all. But surprisingly, my results indicate a high TSH. Which is hypothyroidism. And this was leading me to believe it may be Hashimoto’s disease.
However, what I was worried about the most was the high number of lymphocytes at 5.1.
I had alot of Anxiety and Worry
I was googling this data. Consequently, I am worried. And sick to my stomach. Pretty much I feel frozen at the thought that a possible cause of this data could be leukaemia. I will see my GP in a few days anyway. However, all my thoughts are only about this complete blood count test problem.
Also, I had a big case of anxiety.
Medical Consultations
I read extensively about this and asked my doctor for a haematologist to run the flux cytometry exam. Consequently, I was very impatient and anxious about this. Since receiving this CBC blood result, my mood has completely changed. I just wanted to stay in bed all day and not even eat or go to the gym or work out. And I lost all motivation. I was very worried and scared.
General Information
Male, 27 years old
Results
Firstly, my TSH is 5.77 (Normal – 0.35-5.50), which is HIGH.
Next, my Neutrophiles are 0.25 (Normal: 0.45-0.75), which is LOW.
Additionally, my Lymphocytes are 0.66 (Normal: 0.25-0.45), which is HIGH.
Meanwhile, my Monocytes are 0.01 (Normal: 0.02-0.12), which is LOW.
Furthermore, my Lymphocyte # is 5.1 (Normal: 1.0-4.9), which is HIGH.
Normal Results
In contrast, my WBC is 7.7, which is NORMAL.
Similarly, my RBC is 5.17, which is also NORMAL.
Moreover, my HB is 151, which is NORMAL.
In addition, my HT is 0.461, which is NORMAL.
Finally, my Platelets are 212, which is NORMAL.
Follow Up Results
Two months later, 2nd CBC blood test and smear came back – All normal 🙂 No leukaemia!
Only slightly low potassium levels. My TSH is back to the normal range at 2.89. My neutrophils are still low but higher than last, at 37%. As for my lymphocytes went from 66% to 37%, so in the normal range again (45-75%). As for lymphocytes #, which I was really worried about since it was at 5100, they are in range now at 3300 (normal range 1000-4900). My monocytes are in the normal range again at 3%.
Ongoing Symptoms and Reflections
Ever since, I have had occasional night sweats, but they have always been the same, with no worsening. They are always in my legs and a bit of my lower back, none on my chest or arms, etc. There is a very thin layer of sweat. When I swipe my fingers to collect them, it’s barely a droplet that quickly evaporates. I will change my sheets and see if it gets better.
Hope this can help alleviate anyone who may be in the same situation I was and having health anxiety.
Jisele Scared to death – Possibly OC
Hi, my husband is a 26 year old male. He is 5’10’’ and weighs 190 pounds. Additionally, he has no medical history besides hypothyroidism and takes 100 mcg of Levothyroxine. Furthermore, his mother has hypothyroidism, and his brother had a condition as a small child where his body attacked the collagen in his skin.
Fortunately, he had Covid in June and recovered in 4 days. He had routine CBC work done because he had never done a sample before. And I encouraged him to do that. Also, he works out regularly. And he never gets sick. He does not have enlarged lymph nodes, no night sweats, no pain, fatigue, weight loss, etc.
Initial Bloodwork
Initially, he received a call from a local family doctor about abnormal blood work tests towards the end of January. His neutrophils were coming in at 0.1, as well as low WBC and high lymphocytes, and they wanted us to follow up with haematology/oncology. We were told that this blood work did have a bad smear that could affect the results. We found a oncologist with a major hospital nearby, and her office has done the lab work below.
Follow up with Oncologist
We met with her today, and she said that his lab work on the 1st was insignificant and that she would have only accepted him as a client if this was his initial lab. However, she took him on since he had the initial 0.1 neutrophils with the other small practice. She said the blood work was not too off on the 1st but wanted to repeat the lab work. The exam from the 14th was done after our appointment. She said during our appointment that if the lab work looked similar or was trending outside of the ranges, then she wanted to do a bone marrow biopsy.
We are scared shitless of tests, and this has flipped our world upside down. Consequently, we are seeking your opinion on these results. Additionally, has anyone experienced this, and it turned out to be something less serious than cancer?
Blood Results
February 14th 2023
L: WBC (3.6-10.6) 2.7
RBC (4.5-5.9) 5.17
Haemoglobin (13.5-17.5) 14.8
Hematocrit (41-53) 43.4%
MCV (80-100) 83.9
MCH (26-34) 28.6
MCHC (32-36) 34.1
RDW SD (36.7-47.2) 37.9
RDW (11.3-15.6) 12.4
Platelets (150-400) 236
MPV (8.6-12.4) 9.9
L: Neutrophil % Auto (42-72) 34.6%
H: Lymphocytes % Auto (18-45) 50.4%
Monocyte % Auto (2-12) 10.9%
Eosinophil % Auto (0-5) 2.6%
Basophil % Auto (0-2) 1.1%
Immature Granulocytes (0-0.5) 0.4%
L: Neutrophil, Abs (1.8-6.8) 1
Lymphocytes, Abs (1.2-3.4) 1.4
Monocytes, Abs (0.2-0.9): 0.3
Eosinophil, Abs (0-0.5): 0.1
Basophil, Abs (0-0.1) : 0
Immature Granulocyte, Abs (0-0.04) : 0
February 1st 2023
L: WBC (3.6-10.6): 3.1
RBC (4.5-5.9): 4.9
Haemoglobin (13.5-17.5): 14.1
L : Hematocrit (41-53) : 40.8
MCV (80-100): 83.3
MCH (26-34): 28.8
MCHC (32-36): 34.6
RDW SD (36.7-47.2): 37.1
RDW (11.3-15.6): 12.2%
Platelets (150-400): 235
MPV (8.6-12.4): 9.7
Neutrophil % Auto (42-72) 42.9%
H: Lymphocytes % Auto (18-45): 45.2%
Monocyte % Auto (2-12): 8.7%
Eosinophil % Auto (0-5): 2.2%
Basophil % Auto (0-2): 1%
Immature Granulocytes (0-0.5) : None
L: Neutrophil, Abs (1.8-6.8): 1.3
Lymphocytes, Abs (1.2-3.4): 1.4
Monocytes, Abs (0.2-0.9): 0.3
Eosinophil, Abs (0-0.5): 0.1
Basophil, Abs (0-0.1) : 0
Immature Granulocyte, Abs (0-0.04) : 0
February 1st 2023
CMP All within normal limits.
02/01/23 Pathology review smear report Surgical Pathology Report
Final Diagnosis
Neutropenia, rare circulating plasma cells.
Furthermore, the concurrent flow CBC cytometric analysis is negative for an abnormal lymphocyte population. There are no significant hemolytic changes, dysplastic changes, or circulating blasts.
- Histologic Evaluation
- Peripheral Morphology
The leukocyte differential shows that 100 cells were counted: bands/segmented neutrophil 54, eosinophil 1, basophil 0, monocyte 7, lymphocyte 37, and plasma cell 1.
Leukocytes have neutropenia. Moreover, neutrophils are mostly mature without dyspoiesis. Similarly, lymphocytes are mature and without over-atypia. Additionally, occasional circulating plasma cells are present.
As for erythrocytes, they are adequate with normal morphology.
Lastly, platelets are also adequate with normal morphology.
02/01/23 Leukemia/lymphoma phenotyping report by Flow Cytometry Report
Comment – No evidence exists for increased blasts, plasma cells or abnormal lymphoid population. A negative flow cytometry does not exclude any malignancy.
Leukocyte Differential
CD45 Dim Area: 1%
Lymphoid Area – 59%
-T Cells – 78%
—-CD4 – CD8 ratio 1.5
NK Cells: 12%
B Cells: 8%
—-Kappa – Lambda ration 1.8
Monocytoid Area – 3%
–The monocytoid population has typical antigen expression
Myeloid area – 34%
–The Myeloid population has typical antigen expression
Additional Results
ANA Hep2 IFA w/ Reflex ENA
ANA IFA Screen: Negative
CMt1: ANA IFA: Negative
Folate Level: 11.4
Hep B Surface Antigen
Hep Bs Ag: Nonreactive
CMT: Hepatitis B Surface Ag
Hep B Core Antibody (Total) (ARUP)
Hepatitis B Core Ab Total
Hep B Core Ab Total: Nonreactive
Vitamin B12 Level (345-1485) – 427
HIV Av/Ab Combo ½ Screen
HIV ½ Ag/Ab Combo by CMIA: Nonreactive
Hep B Surface CBC Antibody
Hep B Surface Ab: Nonreactive
ESR, Westergren (0-15) – 5
TSH : (0.46-4.88) – 2.54
Hep C Antibody
Nonreactive
HCV Signal to Cutoff Ratio: 0.05
LDH (125-265): 139
Initially, he received a call from a local family doctor about abnormal blood work tests towards the end of January. His neutrophils were coming in at 0.1, as well as low WBC and high lymphocytes, and they wanted us to follow up with haematology/oncology. We were told that this blood work did have a bad Complete blood smear that could affect the results. We found a haematologist/oncologist with a major hospital nearby, and her office has done the lab work below.
Follow-up with Haematologist/Oncologist
We met with her today, and she said that his lab work on the 1st was insignificant and that she would have only accepted him as a client if this was his initial lab. However, she took him on since he had the initial 0.1 neutrophils with the other small practice. She said the blood work was not too off on the 1st but wanted to repeat the lab work. The exam from the 14th was done after our appointment. She said during our appointment that if the lab work looked similar or was trending outside of the ranges, then she wanted to do a bone marrow biopsy.
We are scared shitless of tests, and this has flipped our CBC world upside down. Consequently, we are seeking your opinion on these test results. Additionally, has anyone experienced this in their CBC? It turned out to be something less serious than cancer?
Blood Results
February 14th 2023
- L: WBC (3.6-10.6): 2.7
- RBC (4.5-5.9): 5.17
- Haemoglobin (13.5-17.5): 14.8
- Hematocrit (41-53) : 43.4%
- MCV (80-100): 83.9
- MCH (26-34): 28.6
- MCHC (32-36): 34.1
- RDW SD (36.7-47.2): 37.9
- RDW (11.3-15.6): 12.4
- Platelets (150-400): 236
- MPV (8.6-12.4): 9.9
- L: Neutrophil % Auto (42-72): 34.6%
- H: Lymphocytes % Auto (18-45): 50.4%
- Monocyte % Auto (2-12): 10.9%
- Eosinophil % Auto (0-5): 2.6%
- Basophil % Auto (0-2): 1.1%
- Immature Granulocytes (0-0.5) : 0.4%
- L: Neutrophil, Abs (1.8-6.8): 1
- Lymphocytes, Abs (1.2-3.4): 1.4
- Monocytes, Abs (0.2-0.9): 0.3
- Eosinophil, Abs (0-0.5): 0.1
- Basophil, Abs (0-0.1) : 0
- Immature Granulocyte, Abs (0-0.04) : 0
- February 1st 2023
- L: WBC (3.6-10.6): 3.1
- RBC (4.5-5.9): 4.9
- Haemoglobin (13.5-17.5): 14.1
- L : Hematocrit (41-53) : 40.8
- MCV (80-100): 83.3
- MCH (26-34): 28.8
- MCHC (32-36): 34.6
- RDW SD (36.7-47.2): 37.1
- RDW (11.3-15.6): 12.2%
- Platelets (150-400): 235
- MPV (8.6-12.4): 9.7
- Neutrophil % Auto (42-72) 42.9%
- H: Lymphocytes % Auto (18-45): 45.2%
- Monocyte % Auto (2-12): 8.7%
- Eosinophil % Auto (0-5): 2.2%
- Basophil % Auto (0-2): 1%
- Immature Granulocytes (0-0.5) : None
- L: Neutrophil, Abs (1.8-6.8): 1.3
- Lymphocytes, Abs (1.2-3.4): 1.4
- Monocytes, Abs (0.2-0.9): 0.3
- Eosinophil, Abs (0-0.5): 0.1
- Basophil, Abs (0-0.1) : 0
- Immature Granulocyte, Abs (0-0.04) : 0
- February 1st 2023
CMP All within CBC normal limits.
B – 13 – ND