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Stomatocytes, atypical lymphs and target cells in routine blood test - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: X-ray, Lab tests and Scans
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General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
User :   Stomatocytes, atypical lymphs, target cells
Doctor :   Hi,
Doctor :   DrXXX here
User :   hi please can you tell me what the above indicates please
User :   they were found on a blood smear
Doctor :   Yes,
User :   i have unconjugated hyperbilirubinaemia
User :   20yr old male, fit and healthy, dont smoke or drink
Doctor :   May i know know where did you read them ?
User :   the doctor told me that i have these on my blood test
Doctor :   Stomatocytes and the target cells are the variants of the red blood cells
User :   ok does this mean i have liver disease?
User :   since i have high bilirubin
Doctor :   no both do not indicate of any live disease
User :   ok what does it mean?
Doctor :   they are seen normaly
Doctor :   but in more number indicate of iron deficiency as in case of target cells
Doctor :   and lead poisoning or thallessemia in case of stomatocytes
User :   ok so what is the possibility that i have liver disease?
Doctor :   Where as atypical lymphocytes are also normal to be seen
Doctor :   the above blood test is not sufficient to comment on the liver test
Doctor :   the best test would be liver function test
User :   my ALT/AST is normal, indirect bilirubin is 41umol,
Doctor :   which will give clear information about the liver functioning and any disesease
Doctor :   OK,
User :   my liver is functioning normally from the LFT
Doctor :   May i know the total bilirubin valve ?
User :   41umol is total sorry
User :   i don't know the exact value for conjugated/unconjugated but i know unconjugated is elevated
Doctor :   Ok, then how much is the indirect bili
Doctor :   ok, rise in uncong bili indicates excess death of the red blood cells
User :   ok is it possible that i have liver disease?
Doctor :   the more bilirubin produced is not been able to metabolize in liver , which appears as unconj bili in blood
Doctor :   no, less likely
Doctor :   As the AST and ALT are normal i do not think you have liver disesease
User :   ok thankyou doctor
User :   goodbyr
Doctor :   Thanks for consuting
Doctor :   kindly provide feedback
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