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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Should I Consult A Endocrinologist And Immunologist For Leukocytosis And Hypothyroidism?

I am a 54-yr-old post-menopausal female with a long history of unexplained leukocytosis (neutrophils and lymphocytes elevated, no immature cells noted on CBC), degenerative disc disease (4 lumbar spinal procedures, incl fusion), hypothyroidism (curr rx for levothyroxine). I also have a history of extreme weight gain/loss ( 150 lbs) for no apparent reason. My husband of 13 years believes that these issues are related. Maybe an autoimmune attack on the endocrine system and weight-bearing soft tissues? What direction first... should I be seeking an endocrinologist, immunologist, rheumatologist? Current PCP doesn t seem to think that any of this is connected and feels that all of these things are isolated.
Mon, 8 Sep 2014
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Internal Medicine Specialist,  's  Response
Hello,
you mentioned leukocytosis but you haven't mentioned the actual numbers. The numbers can make a huge difference. Mild leukocytosis with a normal or near normal percentage of individual types of white blood cells is benign in most cases while a largely increased number of (for example) lymphocytes may mean chronic lymphocytic leukemia.
Mild white blood cells number elevation may appear even after smoking before the blood is drawn. The list of possible causes is huge...
I don't believe your thyroid has anything to do with your leukocytosis. The same applies to your spine problems.
You can consult a GP, an internal medicine specialist or a hematologist for this problem. Any of them should be able to guide your first steps on investigating the causes.
If you have any more questions on the subject, I'll be glad to answer!
Kind Regards!
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Should I Consult A Endocrinologist And Immunologist For Leukocytosis And Hypothyroidism?

Hello, you mentioned leukocytosis but you haven t mentioned the actual numbers. The numbers can make a huge difference. Mild leukocytosis with a normal or near normal percentage of individual types of white blood cells is benign in most cases while a largely increased number of (for example) lymphocytes may mean chronic lymphocytic leukemia. Mild white blood cells number elevation may appear even after smoking before the blood is drawn. The list of possible causes is huge... I don t believe your thyroid has anything to do with your leukocytosis. The same applies to your spine problems. You can consult a GP, an internal medicine specialist or a hematologist for this problem. Any of them should be able to guide your first steps on investigating the causes. If you have any more questions on the subject, I ll be glad to answer! Kind Regards!