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Dr. D. Love
Dr. D. Love, Doctor
Category: Medical
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Experience:  Family Physician for 10 years; Hospital Medical Director for 10 years.
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56 year old female--just received lab results. Monocyte%

Resolved Question:

56 year old female--just received lab results. Monocyte% = 7.5 (range = 3-7) and eosinophil% = 6.8 (range = 1-3). What could cause these abnormal (high) results?
Submitted: 5 years ago.
Category: Medical
Expert:  Dr. D. Love replied 5 years ago.

Do you have the total white blood count (WBC)?

Or the absolute number for each of these types of white blood cells?

 

Customer: replied 5 years ago.

WBC = 6.5 (range = 4.1-10.9)

Absolute neutrophils = 3.8 (range = 1.56-6.13)

Absolute lymphocytes = 1.73 (range = 1.18-3.74)

Absolute monocytes = 0.49 (range = 0.24-0.82)

Absolute eosinophils = 0.44 (range = 0.04-0.54)

Absolute basophils = 0.05 (range = 0.01-0.08)

Expert:  Dr. D. Love replied 5 years ago.

These results are normal and not a concern. The percentage of each type of white blood cell is important to be able to calculate the absolute number of each type of white blood cell. However, it is only considered abnormal and a concern if the absolute number is XXXXX (high or low). Since there are a fewer number of the monocytes and eosinophils (and basophils), if the total white blood count is in the lower half of the normal range, the percentage of the monocytes or eosinophils will be slightly elevated, even if the absolute number is XXXXX Since all of the absolute numbers of white blood cell types are within the respective normal ranges, these results are normal and not a concern.

 

If the absolute monocyte count is elevated, the primary concern is from an infection. If the absolute eosinophil count is elevated, the primary concern would be allergies, although there are certain infections that can elevate the eosinophil count.

 

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