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khagihara, Doctor
Category: Medical
Satisfied Customers: 6590
Experience:  Trained in the multiple medical fields for many years.
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My daughter is almost 3 years old and she had three

Customer Question

Hello my daughter is almost 3 years old and she had three consecutive blood tests. The first one was a little bit off the second one look like it normalized and the third one looked off again all within 3 weeks. I have copies of her blood tests if needed. I would like to have a second opinion whether we should be worried about her results thank you
Submitted: 1 year ago.
Category: Medical
Expert:  khagihara replied 1 year ago.

Can you attach the results here?

Customer: replied 1 year ago.
one moment
Customer: replied 1 year ago.
For some reason it isn't attaching
Customer: replied 1 year ago.
Oh yes, it did, never mind. Here's the last one. They were done on three different dates.
Customer: replied 1 year ago.
Here you are. Thank you.
Customer: replied 1 year ago.
Doctor said they were not too worrisome but her monocytes and esonophils are higher than normal WBC is low
Customer: replied 1 year ago.
Also, I should mention, she hardly ever gets sick and even when she does she gets high fevers and is back to being healthy within a few days. She is active, happy, good appetite for the most part, 98 percentile for height and weight. O don't have any health concerns for her at all. Blood test was done as a routine to establish care with the new doctor.
Customer: replied 1 year ago.
How do I know where to check for answer?
Customer: replied 1 year ago.
Posted by JustAnswer at customer's request) Hello. I would like to request the following Expert Service(s) from you: Live Phone Call. Let me know if you need more information, or send me the service offer(s) so we can proceed.
Expert:  khagihara replied 1 year ago.

If absolute monocyte number is >800 and absolute eosinophil number is >450, she needs to have further evaluation. Otherwise, she is Okay since she has no problems.

Customer: replied 1 year ago.
Thank you. What kind of blood disorder are we looking for?
Expert:  khagihara replied 1 year ago.

If monocyte is >800, the following diseases should be tested.

  • Infections (tuberculosis, subacute bacterial endocarditis, hepatitis, rickettsial diseases, syphilis)
  • Granulomatous diseases (sarcoid, ulcerative colitis, regional enteritis)
  • Collagen-vascular diseases (lupus, rheumatoid arthritis, polyarteritis)
  • Many cancers, lymphomas, and myeloproliferative disorders
Expert:  khagihara replied 1 year ago.

If eosinophils is >450, the following disorders should be examined.

  • Allergic diseases (asthma, hay fever, drug reactions, allergic vasculitis, serum sickness)
  • Parasitic infections (trichinosis, echinococcus, hookworm, schistosomiasis, amebiasis)
  • Skin disorders (some psoriasis, some eczema, pemphigus, dermatitis herpetiformis)
  • “Hypereosinophilic” syndromes (systemic eosinophilia associated with pulmonary infiltration and sometimes cardiovascular disturbances)
  • Neoplastic diseases (Hodgkin’s disease, extensive metastases or necrosis of solid tumors)
  • Miscellaneous (collagen-vascular diseases, adrenal cortical hypofunction, ulcerative colitis)
Customer: replied 1 year ago.
Thank you.
Expert:  khagihara replied 1 year ago.

You are welcome.