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Frequent fever, skin lesions and mouth ulcers - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Child Health
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3507 Questions
User :   my daughter has neutropenia her doctors don't know what is the cause all they are doing is drawing blood because her wbc is always low..i got her medical records and her blood results has cd10 and cd19 with the code m along with other blood results..my question is what does cd10 and cd19 with a code of m means?
Doctor :   Hi
Doctor :  
How can I help you?
Doctor: User :   my daughter has neutropenia her doctors don't know what is the cause all they are doing is drawing blood because her wbc is always low..i got her medical records and her blood results has cd10 and cd19 with the code m along with other blood results..my question is what does cd10 and cd19 with a code of m means?
Doctor :  
Let me read your query
Doctor :  
and just give me couple of minutes
User :   ok
Doctor :   May I know few more details about the problem
Doctor :  
What is your daughter's age?
User :   she is 2yrs old
User :   she is always tired and always get fevers and her mouth ulcers
Doctor :  
Ok
Doctor :  
What are her WBC numbers
User :   she has to wear a mask when she goes out
User :   her wbc never passes 500
User :   only when she gets a fever that it goes up the most 900 never passed
Doctor :  
Ok
Doctor :  
Any differential count you know
Doctor :  
like neutrophils, basophils, lymphocytes??
User :   nope
User :   the doctor told me her neutrophils are ok but they cant find her antibodies
User :   they did a bone marrow biopsy and they say its fine
Doctor :  
Ok they 'm' code indicate about the antibodies
Doctor :   whether the antibodies IgM are able to produce or not
User :   i did read up on cd10 and it says acute something leukeamia and its m on her chart
User :   ok please tell me can this condition lead to leukemia? i am so confused
Doctor :  
I think they are suspecting Leukemia
Doctor :  
and most likely a Myeloid variety
User :   what is that?
Doctor :  
but the Bone marrow biopsy is XXXXXXXX
Doctor :  
so I am not sure whether you are having the correct information
User :   yes that is what they told me it was XXXXXXXXl
User :   correct information from the doctor or the medical records?
Doctor :  
I understand your agony and your bid to know the answers for your daughters problem
Doctor :  
we should have plain information about her clinical condition and the tests
Doctor :  
Then I can help you to certain extent
User :   she also has on her back ...black and blue marks that looks like i hit her...but i didn't and i told that to her doctor and they said its fine but it gets light and sometimes dark
Doctor :  
The CD 10 and CD 19 have several markers on them
User :   like what markers?
Doctor :   M code is the marker to detect CD cells
Doctor :  
it is pathological technique
User :   so since i can't get correct information or answers what is my daughters limitations
User :   but when i read the chart m stand for moderate
Doctor :  
Ok then you are talking about something else
User :   it had m for moderate d for dim l for light
Doctor :  
I am sorry, I may not be able to answer your question
Doctor :  
You would like to take a specialist opinion with a Hematologist
Doctor :  
/ Medical oncologist
User :   that is where im taking her
Doctor :   WWW.WWWW.WW Doctor :  
You can take our E opinion from him through an Email
User :   thank you so much
Doctor :   I shall do some research on this and get back to over an email on this
Doctor :  
Please confirm your email ID
Doctor :  
YYYY@YYYY
Doctor :   My research would be beneficial if you can give more details
Doctor :   Are you with me?
User :   yes
User :   thank you very much yes that is my email
Doctor :   YOu said she has less WBC count
Doctor :  
not more than 500
Doctor :  
and she has neutropenia too
Doctor :  
She is tired and frequently ill and dark blue patch on her back
Doctor :  
any other information that you would like to give
User :   she frequently has fevers and mouth ulcers and skin leasures
Doctor :   Any bloody vomitings or stools?
Doctor :  
Any injury and the bleeding would not stop?
User :   yes she had 2 times and yes when she gets hit in the nose its non stop and alot
User :   she also had diarriha once a month for a week straight
User :   she also has a eating problem she doesn't eat alot and she is under height and weight
User :   r u there?
Doctor :  
yes
Doctor :  
I am reading
Doctor :  
Did you see her platelet count and the RBC counts?
Doctor :  
Any clue about the pathology report on bone marrow biopsy
User :   no but the doc told me her platelet and that her biopsy was ok
Doctor :   Ok
Doctor :  
Let me do my part of work and anything fruitful to you, let you know by an email
User :   ok thank you
Doctor :  
I am a General physician
Doctor :  
and we usually refer such cases to Oncology/ Hematologist
Doctor :   However you may proceed to take the proposed specialist opinion with sufficient information
Doctor :  
Is there anything else I can help you with
User :   ok thank you
Doctor :  
Thanks for consulting me
User :   no thank you
Doctor :  
Bye for now
User :   your welcome
User :   bye
User :   hello
Doctor :   Hi
User :   is this dr. XXXXXXXX gupta?
Doctor :  
No
Doctor :  
chat with the oncology is not available
User :   great and i just paid for it
Doctor :  
you can post your query and can get opinion
Doctor :  
via e- mail
Doctor :  
paid for e- mail second opinion?
User :   how do i post it
Doctor :   you go to home page
Doctor :  
click on the second opinion tab
Doctor :  
dr XXXXXXXX gupta profile will appear
Doctor :   there is a space where you will post your query
User :   ok got it
Doctor :   ok
User :   ok after i write it what do i do cause if i click the continur to consult i have to pay which i did already
User :   i just leave it?
Doctor :   you have paid for chat that will be refunded

Doctor :   now you continue with the payment
User :   oh ok
User :   i did the payment already...but he is not on?
Doctor :   you will get the reply from dr vinet gupta for your query( completed query) with in 24 hours
Doctor :   to your e mail
User :   ok
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