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Itchy pimples on legs, done CBC test. Is blood report normal?

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Pediatrician, Infectious Diseases
Practicing since : 2005
Answered : 1528 Questions
My son is 1yr 8 months old. From last three months he is getting itchy pimples type stuff on his open parts (legs, arms and face). If any mosquito bite him, swelling is there at that part. We concerned to pediatrician she refer CBC test and this is the report:
Hb (Haemoglobin): 9.2 gm/dl
Total Leukocyte Count: 0000 /Cumm
PCV/Haematocrit: 27.7 %
RBC Count: 5.05 Million/Cumm.
Platelet Count: 5.5 Lakhs/
MCV: 54.9 fl
MCH: 15.8 pg
MCHC: 28.8 gm/dl

Different Leukocyte Count:
Neutrophil: 28%
Lymphocyte: 63%
Monocyte: 04 %
Eosinophil: 05 %
Basophil: 00
I want to know whether this blood report is normal for my kid or I have some concern about that. Please reply me as soon as possible.
Posted Wed, 26 Sep 2012 in Child Health
Answered by Dr. Hema Yadav 1 hour later
Thanks for posting your query.
The above report has following abnormalities ,
1. Low Hemoglobin and other parameters suggestive of WBC count suggestive of infection most likely parasitic or viral as the lymphocyte count is raised as compared to neutrophil count.

Please do not worry . This is a very common problem encountered in toddlers whose main diet is milk based and they are not eating enough vegetables or iron XXXXXXX diet .
It is readily treatable with hematinics ( oral iron syrups ) for a course of three months or more.
Along with this considering the child has itchy rash over body his doctor might treat him with appropriate deworming agents like albendazole and also rule out any viral infection ( though unlikely if child has no fever , cold , cough etc).

Another very common cause is an allergic tendency ( mostly familial ) which may cause disproportionately large reddish swollen area in response to mosquitoe bite .
This is best prevented and has no cure but the itching and swelling can be minimized by local application of zinc based soothing lotions like calamine and if very significant then mild hydrocortisone cream as advised by a dermatologist .

Meanwhile you should try to keep his skin moisturised , protect from direct sun .
Include iron XXXXXXX diet like XXXXXXX leafy vegetables , apples , dates , almonds and raisins in his meals .
Hope I have answered your query.
Kindly accept my answer in case you have no further queries.
Above answer was peer-reviewed by
Follow-up: Itchy pimples on legs, done CBC test. Is blood report normal? 19 hours later
As per your answer it seems my son have hemoglobin deficiency but we are giving him pomegranate, XXXXXXX and banana since he was 7-8 month old.
As per the pediatrician we consult she told that his blood is fine but the second observation of leukocyte she told that his immune system is week. Now I am little bit confuse. Can you please help me about this what I have to do?
Answered by Dr. Hema Yadav 2 hours later
Thanks for the follow up.
According to the World Health Organization, a normal hemoglobin level for children age 6 months to 4 years is at or above 11 g/dL. Any hemoglobin values below these cut-points may be diagnosed as anemia.
I appreciate your efforts for giving a iron XXXXXXX diet to your child and would advise you to continue the same .
However what his CBC result shows is definitely a low hemoglobin which could be due to the ongoing low / weakened immunity due to the presence of any infection or otherwise .
In such a case a doctor may rely on physical examination to judge whether the patient has any significant anemia .
So if his pediatrician has examined him and doesn't feel the need for starting any medications or iron supplements it could be acceptable as per the confirmation done by examination of the child .
However I would advise you get a repeat CBC after three months to confirm the hemoglobin levels and if that comes normal then there is no need to worry .
In case that is low too then kindly consult your doctor for definitive therapy .
Kindly feel free to discuss with your doctor the above issues so that there is no ambiguity in the opinions .

Hope I have answered your query.
Kindly accept my answer in case you have no further queries.
Wishing your child good health .
Above answer was peer-reviewed by
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