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Dr Basu
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My husband lab resutls reveals gran 41.7; lymph 46.3 and mono

Resolved Question:

My husband lab resutls reveals: gran 41.7; lymph 46.3 and mono 10.1. What does each result mean?
Submitted: 6 years ago.
Category: Medical
Expert:  Dr Basu replied 6 years ago.

Mysticdoc :

hello,

Mysticdoc :

thanks for your question.

Mysticdoc :

these are different components of white blood cell count.

Mysticdoc :

the percentages of granulocyte, lymphocyte, and monocytes are mentioned here.

Mysticdoc :

his lymphocyte count is mildly elevated.

Mysticdoc :

this can be from viral infection or from any chronic inflammatory condition.

Mysticdoc :

sometimes, this just can be related to the daily normal variation of the white cells.

Mysticdoc :

overall, this can be taken as stable result if there is no significant change from his prior blood count.

Mysticdoc :

 


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Customer :

I understand the answer regarding lymph being high. What is the low gran result and mono result that is too high?

Mysticdoc :

the mono result is in normal limits. In most labs the upper normal range is 14%. anything below 14% is normal for monocytes

Mysticdoc :

the granulocytes are mildly below the normal range--this is likely due to the elevation of the lymphocyte percentage.

Mysticdoc :

please the absolute counts should also be taken into account, as they may be within normal range although the percentages may be little bit of off the limits.

Customer :

Can the mono high level indicate mononecleuosis?

Mysticdoc :

no.

Mysticdoc :

in mononucleosis the lymphocyte count goes up.

Mysticdoc :

the peripheral smear shows atypical lymphocytes

Mysticdoc :

so it can still be mononuceosis since his lymphocyte count is higher.

Mysticdoc :

his monocyte count is still normal ( percentage wise)

Customer :

I am not and expert on medical terms especially when lab result is high and low and what percentage is still considered normal when the lab result shows high. I am concern about my husband lymph and mono lab results are high which can mean mononeucleosis. Is there any other desease that can be associated to these type of lab results?

Mysticdoc :

any other viral infections can cause similar changes.

Mysticdoc :

the risk of malignancy is not a consideration here, since you do not know the absolute white cell counts, and the repeat blood test should be drawn to confirm that this elvation.

Mysticdoc :

please do not worry

Mysticdoc :

 


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Customer :

should he be further evaluated for mononeucleosis?

Mysticdoc :

mononuceosis resolves by itself.

Mysticdoc :

but, he can be evaluated for mononucleosis

Mysticdoc :

 


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