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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Having High Eosonophil Count And Low Lymphocyte Count, Swollen Leg Without Itchiness. Suggestions?

Hi, I am Mdm Lam here, would like to seek advice whether should i see specialist immediate with a high eosinophil of 38% and low lymphocyte of 6% in my differential blood count. Currently doctor has gave me allergy medicine and ask me come back for blood test again after one month. However , my leg still swelling although no ithiness . What should I do now ? Your soonest reply is much appreciated! Thanks & regards!
Wed, 12 Dec 2012
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Allergist and Immunologist,  's  Response
Hello,
A very high eosinophil count plus leg swelling could indicate lymphatic filariasis and hence tests to exclude this is definitely recommended.
1. Peripheral blood for filarial antigen
2. or filarial antigen test
3. total IgE (helpful, but does not tell what allergies, if you have any)
4. depending on other symptoms, such as skin rash etc; you would need mast cell tryptase levels.
If MCT is very high, you must see a Haematologist straight away.

I hope this helps.

Best Wishes.
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Having High Eosonophil Count And Low Lymphocyte Count, Swollen Leg Without Itchiness. Suggestions?

Hello, A very high eosinophil count plus leg swelling could indicate lymphatic filariasis and hence tests to exclude this is definitely recommended. 1. Peripheral blood for filarial antigen 2. or filarial antigen test 3. total IgE (helpful, but does not tell what allergies, if you have any) 4. depending on other symptoms, such as skin rash etc; you would need mast cell tryptase levels. If MCT is very high, you must see a Haematologist straight away. I hope this helps. Best Wishes.