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Anyone know what this means? (Blood results)

13 replies

DNAP · 22/03/2018 11:49

Sorry, just posting here as it seems to have a lot of traffic.

DDs latest blood results show the usual breakdown for white cells, neutrophils lymphocytes etc highlighted with * as being below normal range.
Then at the bottom of the report there is another line as follows;
m NEUTROPHILS *

Does anyone know what this means? Thank you!

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Flynnshine · 22/03/2018 11:54

Following to see if anyone knows as this is a new one to me. My dd has been on and off chemo for 3 years so I have seen A LOT of blood results but never seen this.
Were the bloods taken by the GP or at your hospital?

meddie · 22/03/2018 11:58

You could ask her nurses or doctor. Could it be mature neutrophils?

DNAP · 22/03/2018 11:59

They were taken at the tertiary hospital where she has repeat bloods taken for Immunology every 3 months..and I've noticed this a couple of times now. Just can't find any reference to this term anywhere, so wondered if it related to neutrophil maturity or such like?!

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4men1lady · 22/03/2018 12:00

An asterix normally highlights an abnormal blood result and what action needs to be taken.

Neutrophils are usually an indicator of the immune system being compromised for example after chemo.

What reason were the bloods taken just to get a better understanding of why the results would be low.

4men1lady · 22/03/2018 12:01

In other words, with low neutrophils means there’s a greater risk of catching an infection.

DNAP · 22/03/2018 12:11

She's under Immunology (recurrent infection issues since she was a few months old) and these bloods were taken as a general repeat review..check Ig levels etc
Sometimes her white count is a little low, but it's not been mentioned specifically as an issue. At the moment they are a bit stumped, she's been put on the genome project to see if they can find out why. But in the meantime, she falls ill..every month, like clockwork. Always starts with her feeling tired, gets mouth ulcers, bottom sores, bleeding gums etc and then often gets double and triple whammies of infection all at once. She's just come down with another chest infection and another uti. Had been feeling tired and run down all week. So I was wondering if there could be a connection to her low (ish) results.
Just wish we had some answers, so am scrutinising everything I see!

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4men1lady · 22/03/2018 12:19

I’m not really familiar with immunology, just have experience of low neutrophils associated with patients who receive chemotherapy. Once someone becomes neutropenic, they require protective isolation to reduce the risk of catching infections of other people.

So sorry your dc is ill frequently. Does she attend Nursery/school?

DNAP · 22/03/2018 12:39

Yes she is at school. She's 9 this summer and has missed a lot of school throughout. Started nursery at 2...and was told she was just unlucky..and would grow out of it...until she was about 6, and had clocked up numerous serious infections and had been admitted multiple times. Had a particularly unusual infection in her blood stream, and her paediatrician finally referred her to the immunologists. And over 2 years on..it's still no better. She was in hospital one month ago with a mastoid infection...and here we go again.
Am poring over everything..as I just can't believe she has seen so many medical experts, yet nobody can tell us why Confused

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gdaymatey · 22/03/2018 12:42

What's her IGE levels op?

gdaymatey · 22/03/2018 12:43

And what have the immunologists been looking for? Any genetic testing?

DNAP · 22/03/2018 13:07

I don't think IgE was included in the last panel. Just A,G & M. But they have been done previously, and although it was a little high...I don't think it was alarmingly high.
She's already had a TIGER panel run at GOSH, which looks specifically at 82 known primary immune & gastro disorder genes, but although there were some mutations picked up, they were not deemed causative. So they've put her on the genome project.
Unfortunately we've been told this could take years, so in the meantime we just have to continue to firefight per usual.
And looking at her blood results, and the monthly pattern she seems to have over and over, leads me to wonder whether we've been barking up the wrong tree, and could there be some cyclical haematological explanation. It's a bit of a straw clutch I know, but we just feel so frustrated with it all.
Thanks for reading!

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whywhywhywhywhyyy · 22/03/2018 15:12

You can't say anything from one result in isolation. You need to look at the child, the other bloods, the trend of those neutrophils. You need to speak to her doctor.

DNAP · 22/03/2018 15:44

Yes of course, will definitely be speaking with her paeds about it. The background was a bit of a digression from my original question. Just wondered if anyone knew what the term 'm Neutrophils' meant on the blood report. Not what it may or may not represent, just what does it mean.
Does it mean..mature neutrophil?
Or myelocytes?? Or something else? Thanks!

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