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Have Shortness Of Breath, Dysautonomia And Lupus. Chest X-ray Normal. Had Other Lab Test. Findings?
Question: Was seen at ER for Shortness of Breath. I have dysautonomia (POTS ) and Lupus . CHest xray was clear everything was normal except following labs:
WBC- 4.2 (slightly low) is this a concern?!
RBC- 3.99 low
Hemaglobin- 10.8 low
HCT-33.2 low
RDW 16 -High
also showed Slight anisocytosis and slight poikilocytosis what is this > im getting scared
I have lupus. and Dysautonomia
I want to add the rest of my labs
HCT 33.2 Low
MCV 83.2
MCH 27
MCHC 32.5
RDW 16
Platlets 272
MPV 8.0
Lymph % 38.9
Mono % 8.1
Seg 53.0
Lymph count 1.6 x 1000
Mono COunt
0.3x1000
Seg count 2.2x1000
could I have leukemia or lymphoma ? im worried about blood Cancer
WBC- 4.2 (slightly low) is this a concern?!
RBC- 3.99 low
Hemaglobin- 10.8 low
HCT-33.2 low
RDW 16 -High
also showed Slight anisocytosis and slight poikilocytosis what is this > im getting scared
I have lupus. and Dysautonomia
I want to add the rest of my labs
HCT 33.2 Low
MCV 83.2
MCH 27
MCHC 32.5
RDW 16
Platlets 272
MPV 8.0
Lymph % 38.9
Mono % 8.1
Seg 53.0
Lymph count 1.6 x 1000
Mono COunt
0.3x1000
Seg count 2.2x1000
could I have leukemia or lymphoma ? im worried about blood Cancer
Brief Answer:
Not cnsistent with lympoma/leukemia
Detailed Answer:
Hi and thank you so much for this query.
I am so sorry to hear about this recent ER visit and these "abnormal" findings that clearly have been disturbing to you. Let us address them.
From the information you have provided, there is nothing suggestive of lymphoma or leukemia. Please, be relaxed and understand this is not a possibility at this time.
Your findings all suggest the various counts being on the low side. This is consistent with the side effects of plaquenil which causes aplastic anemia(low cell counts). This explains why you have these findings alongside anisocytosis(varying sizes and this explains the reasons for the increased RDW) and poikilocytosis(differrent shapes).
The best thing to do is to talk with your doctor who would probe further into plaquenil as the most likely explanation of these findings and consider modifying treatment if it becomes worse.
Hope this helps and addresses your query fully. Feel free to ask follow up questions if need be.
Thanks for using our services and hope you do enjoy them
Wish you good health.
Dr. Ditah, MD
Not cnsistent with lympoma/leukemia
Detailed Answer:
Hi and thank you so much for this query.
I am so sorry to hear about this recent ER visit and these "abnormal" findings that clearly have been disturbing to you. Let us address them.
From the information you have provided, there is nothing suggestive of lymphoma or leukemia. Please, be relaxed and understand this is not a possibility at this time.
Your findings all suggest the various counts being on the low side. This is consistent with the side effects of plaquenil which causes aplastic anemia(low cell counts). This explains why you have these findings alongside anisocytosis(varying sizes and this explains the reasons for the increased RDW) and poikilocytosis(differrent shapes).
The best thing to do is to talk with your doctor who would probe further into plaquenil as the most likely explanation of these findings and consider modifying treatment if it becomes worse.
Hope this helps and addresses your query fully. Feel free to ask follow up questions if need be.
Thanks for using our services and hope you do enjoy them
Wish you good health.
Dr. Ditah, MD
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you SO much - I read into things so much and im not a doc and shouldnt lol. would Iron tablets help ? I was thinking of buying them OTC till I get in w/ the doc. the plaquenil helps me a lot so I dont want to be off it it persay
Brief Answer:
Iron wouuld not help!
Detailed Answer:
Thanks.
I am happy to know you read so much into things. I encourage you to but always seek clarification from experts when in doubts!
These results don't show plaquenil helps you a lot then you may want to rather monitor blood parameters closely and only consider changing when you cannot do otherwise.
Hope you find this helpful and addresses your query. Feel free to ask more related questions if needed.
I wish you well.
Dr. Ditah, MD
Iron wouuld not help!
Detailed Answer:
Thanks.
I am happy to know you read so much into things. I encourage you to but always seek clarification from experts when in doubts!
These results don't show plaquenil helps you a lot then you may want to rather monitor blood parameters closely and only consider changing when you cannot do otherwise.
Hope you find this helpful and addresses your query. Feel free to ask more related questions if needed.
I wish you well.
Dr. Ditah, MD
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Brief Answer:
Right now, NO.
Detailed Answer:
There are no red flags that suggest discontinuing this medication at this time.
However, through regular monitoring we may one day need to consider doing so and in such a situation, we shall be proposing alternatives.
Also, taking just the minimal required dose to keep symptoms controlled would help reduce side effects as most of them as dose related.
Please,, remember that you need regular eye exams and blood tests to monitor the adverse effects of this drug.
Hope you find this helpful.
Wish you well.
Dr. Ditah, MD
Al
Right now, NO.
Detailed Answer:
There are no red flags that suggest discontinuing this medication at this time.
However, through regular monitoring we may one day need to consider doing so and in such a situation, we shall be proposing alternatives.
Also, taking just the minimal required dose to keep symptoms controlled would help reduce side effects as most of them as dose related.
Please,, remember that you need regular eye exams and blood tests to monitor the adverse effects of this drug.
Hope you find this helpful.
Wish you well.
Dr. Ditah, MD
Al
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I go to the eye doctor every 6 months,
and my doctor does blood work every 3 months - is three months enough? I never showed signs of anemia until now. in July WBC were 7.2 Hemaglobin 12 Hematocrit 27 platlets 305 and even everything else on the CBC Was normal then
and my doctor does blood work every 3 months - is three months enough? I never showed signs of anemia until now. in July WBC were 7.2 Hemaglobin 12 Hematocrit 27 platlets 305 and even everything else on the CBC Was normal then
Brief Answer:
This is fine
Detailed Answer:
I think your doctor is doing a great job.
For now, continue with the same plan.
Monitoring these abnormal findings would provide a better understanding.
All the best.
Dr. Ditah, MD
This is fine
Detailed Answer:
I think your doctor is doing a great job.
For now, continue with the same plan.
Monitoring these abnormal findings would provide a better understanding.
All the best.
Dr. Ditah, MD
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
thank you so much! have a wonderful day
Brief Answer:
Thank you too.
Detailed Answer:
Thanks for having offered me the opportunity to address your query today.
I wish you well.
Dr. Ditah, MD
Thank you too.
Detailed Answer:
Thanks for having offered me the opportunity to address your query today.
I wish you well.
Dr. Ditah, MD
Note: Do you have more questions on diagnosis or treatment of blood disorders? Ask An Expert/ Specialist Now
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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