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Dr. David
Dr. David, Doctor (MD)
Category: Oncology
Satisfied Customers: 46747
Experience:  Experienced Oncology Physician trained in New York City. I'm ready to help.
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Symptoms of ALL vs CLL treatments

Customer Question

Symptoms of ALL vs CLL treatments
Submitted: 1 year ago.
Category: Oncology
Expert:  Dr. David replied 1 year ago.

This is Dr. David

chronic lymphocytic leukemia and acute lymphocytic leukemia are very different.

are you asking about symptoms of ALL and CLL or asking about treatments for these?

Customer: replied 1 year ago.
Both my brother felt weak & tired he asked me to give h B12 shots when Zi asked why he said he was anemic further questions revealed he also had low B12 level what are we doing about anemia workup but felt really bad before admitted blood transfusions as H&H 7/20 WC 3.4 bone marrow done DX CLL RX started 1 week later T 100.6 adm need for more blood
Expert:  Dr. David replied 1 year ago.

his CLL will cause him to be tired and would cause his anemia.

it sounds like he is quite symptomatic from his CLL

he needs to talk to a hematology doctor to get started on treatment for his CLL

has he consulted with a hematology doctor yet?

he should have if he had a bone marrow biopsy

Customer: replied 1 year ago.
indeed as I said he had his first round of Rx from oncologist this happened 2nd week after his first round
Expert:  Dr. David replied 1 year ago.

I see.

he got a low grade fever and need a blood transfusion after his first treatment

you have to give his oncologist more time with treatment to help control his CLL.

his bone marrow could be very sick and most likely is not making many red blood cells

the bone marrow biopsy would be able to look for blast cells

if he has lots of blast cells in his bone marrow, this could turn into an ALL leukemia.

but if the bone marrow doesn't show blast cells, it is still CLL

and is low grade fever and need for blood transfusion isn't a sign of ALL.

Customer: replied 1 year ago.
Ok thanks he just seemed to be doing better & then he wasn't but I'd appreciate the difference in CLL & ALL
Expert:  Dr. David replied 1 year ago.

that is good he is going better

I hope he gets better

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you can always reach me with "a question for Dr. David" in the medicine or oncology categories if you have any other questions

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Customer: replied 1 year ago.
You never ans my question about ALL vs CLL please advise
Expert:  Dr. David replied 1 year ago.

the difference between CLL and ALL is seen in the bone marrow biopsy.

ALL has blast cells in the bone marrow biopsy.

CLL doesn't have blast or rapidly growing immature cells in the bone marrow.