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Done with blood hemogram test. What are the findings?

Feb 2013
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Practicing since : 2002
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hello doctor
please find my Baby s blood hemogram report below. Age-2.20 years, Sex Female, name- XXXXXXX

RBC Count: 4.20 ( Range- 4.50-6.50)
Haematocrit- 33.1 ( Range- 35-48)
Platelet count- 5.7
Neutrophils- 15.6 ( 40-80)
Lymphocytes- 73.7 ( 22 to 40)
Comments: RBC shows moderate Anisopoikilocytosis showing creaneted forms, microcytes and occasional schistocytes. Few target cells seen. Few polychromatophils seen along with shift to left up to metamyelocytes.
Platelets- Mild thrombocytosis
Evidence of Haemolysis seen. Rest of the report is within the range. Please advice what does it mean?
Posted Wed, 29 May 2013 in Child Health
Answered by Dr. E Venkata Ramana 45 minutes later

Thank you for your query on Healthcare Magic.

Your child blood report is suggestive of mildly decreased RBC count and hematocrit, and with mild raise in platelet count.

The decreased RBC count and hematocrit are suggestive of mild anemia.

The variation in neutrophil and lymphocyte percentages may be because of some infection if the child is having any signs of infection.

But lymphocytes are normally more in children below the age of 8 years.

Low neutrophil count is seen in infections like viral and some bacterial infections like typhoid but the total WBC count is required to comment further.

If the child is asymptomatic and the WBC count is normal, the variation in neutrophil and lymphocyte percentage may not be significant.

The mild thrombocytosis may not be significant and some times it is suggestive of a nonspecific inflammatory response.

Presence of schistocytes in blood is suggestive of fragmented red blood cells which are the result of hemolysis.

If the hemolysis is significant, depending on her clinical symptoms further investigations can be done with your pediatrician consultation.

But by seeing the hemogram, it is very difficult to interpret the result as the clinical profile of the child such as her symptoms, examination findings, and other investigation reports, is required to advise you in a better way.

Therefore I advise you to consult your Pediatrician with the reports for interpretation of them and to correlate these reports with her symptoms.

Hope I have answered your query, if you have any clarification please let me know.

Above answer was peer-reviewed by
Follow-up: Done with blood hemogram test. What are the findings? 40 minutes later
Dear Doctor

We have shown her to a local doctor here. XXXXXXX had rashes on her leg and hand. Photo is attached. She had prescribed us "Permintin" cream. We used it for few days however, the rashes did not reduce. Then we used Eumosome M cream. Rashes reduced due to that but baby would have a lot of itching.So doctor prescribed allegra 4ml for 3 times in a day. We used that also. Though rashes have reduced but they have not gone. We are worried becuase these rashes are there for a long time. Today doctor prescribed Fluticasone cream and told us to check for 3 days, if even after this rashes dont go she has asked to consult a skin specialist.

I am worried about these rashes. I have attached the picture of my baby's rashes and the blood report also. Pls advice what to do in such a case.

I am also worried about the result of the report- anemia. Is there anything to be worried about? What treatment should be given to her?

Is there anything else in the report to be worried about .Apart from this blood test shall i do any other test?
Answered by Dr. E Venkata Ramana 9 hours later

Thank you for getting back.

I went through the blood report and one picture titled 'hand XXXXXXX JPG'. I didn't get another picture mostly due to error while uploading the picture.

Coming to the blood report, the result is not worrisome and anemia is very mild and it can be managed by some changes in her diet by giving iron XXXXXXX foods.

Coming to skin rash, it is looking like a local bacterial or fungal, or a mixed skin infection (clarity is missing in picture), but physical examination by the pediatrician or dermatologist is important to diagnose the skin condition.

Nothing to worry about blood report. But I advise you to consult the pediatrician to rule out the causes for hemolysis after physical examination of the child.

For rash consult a dermatologist or a pediatrician for accurate diagnosis as the treatment depends on the diagnosis.

Hope I have answered your query, if you have any clarification please let me know.

Above answer was peer-reviewed by
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