Hi and thanks for the question,
Chronic elevation of the WBCs deserves a more critical evaluation. In your case especially, the association with increased ESR, fatigue and petechiae suggest exclusion of a bone marrow
malignancy, especially a leukeamia. A bone marrow biopsy might be compelling. Secondly, I would to suggest to carry out Anti nuclear antibodies
, HLA27 and antiSm antibodies for your symptoms are also very compatible with systemic lupus erythematosus
, which is an autoimmune disease
the symptoms as I said are very suggestive of a leukemia. An appropriate diagnosis is critical, for the setting up of an appropriate treatment plan. Delayed diagnoses my make the prognosis more faint.
I suggest you book an appointment with the hematologist
, to rule out a leukaemia or any possible blood malignancy, and possibly systemic lupus erythematosus.
Thanks for your question and hope this helps,