AboutNeha Dahiya MD Expertise I can help patients understand their lab report results, help them with queries regarding what pretest preparation is required. How often a follow up test needs to be done. What does a particular tissue biopsy report mean in everyday English. I can explain the biopsy or cytology procedure. I can deal with Histopathology / cytology / clinical pathology and clinical chemistry queries. Helping in this manner will be my contribution to the community.
Experience I am a pathologist and director of clinical laboratory services. I have been a practicing pathologist for last 9 years in a 350 bed multi specialty hospital laboratory.
Organizations Indian association of pathologists and microbiologists.
MIAC - Member International Academy of Cytology
International association of Pathologists - indian division
Indian association of Cytology
Question I was wondering if you could tell me if my daughters blood test results could be the sign of relapse of Infantile Acute Lmphoblastic Leukemia. She is 2 years old and 18 months post BMT. She has been feeling unwell with occasional vomiting, intermittent fever and not eating. Some days she doesn't move around much at all, while other days she seems ok. Her blood results revealed high platelets of 465, High white cell count of 34.00 and high neutrophil count of 27.20. Monocytes are slightly raised at 1.02.LDH is at the high end on 920 as is calcium(serum)at 2.60. albumin 48. Liver function and electrolytes look OK. C-reactive protein is raised at 23. There appears to be no viral or bacterial infections thus far. What are your thoughts.
Answer Hello Cathy:
The WBC count is moderately raised and the neutrophils are high.
The high neutrophil count goes against a diagnosis of ALL. in lymphoblastic leukemia the neutrophils are low as the malignat lymphoblasts increase. In addition the platelets also decrease which is not the case with your daughter.
At this point this seems more likely to be an infection which is evolving rather than relapse of ALL.
I hope she recovers soon. Please keep in touch with the pediatrician
