Rapid decline in CBC numbers
Sep 3, 2003
Dr. Young, My CBC came back and, compared to a month ago, showed a huge plunge in Lymphocytes percent (down to 20 from 40 a month ago) and Lymph numbers (down to 1.7 versus 3.2 a month ago). Monocyte numbers are also way down.
I thought Lymphocytes usually declined at a gradient? Have you ever seen such a big drop and, if so, what were the causes?
Also, do such big declines in Lymph numbers in a CBC usually translate into a big decline in CD4 counts and percent?
Is the change within normal fluctuations? I must say that all my prior CBC's have had numbers consistent with the higher Lymph numbers and this is the first time there has been such a big and rapid decline...and it coincides with a worsening of symptoms).
I'd appreciate your perspective and advice.
Response from Dr. Young
I wouldn't be drawing any conclusions about HIV disease progression on the basis of any single set of tests. Moreover, there is so much variability in CBC differential white blood cell counts (particularly if your having any secondary issues, like even a cold), that I'd advise you to simply contact your doctor about your current symptoms.
Lastly, assuming that you live in a place where getting CD4 counts is possible, then this is the lab parameter that I'd be following (a much more accurate predictor than the CBC). BY
Get Email Notifications When This Forum Updates or Subscribe With RSS
- What Doctor Treats Herpes?
- What Are The Different Types Of Herpes Zosters Or Shingles?
- What Are The Chances Of Passing Chlamydia With A Condom?
- What Are Shingles And What Do They Look Like?
- What Are Other Names For Toxoplasmosis?
- Took Antibiotics As Prescribed For Chlamydia And Still Have Symptoms
This forum is designed for educational purposes only, and experts are not rendering medical, mental health, legal or other professional advice or services. If you have or suspect you may have a medical, mental health, legal or other problem that requires advice, consult your own caregiver, attorney or other qualified professional.
Experts appearing on this page are independent and are solely responsible for editing and fact-checking their material. Neither TheBody.com nor any advertiser is the publisher or speaker of posted visitors' questions or the experts' material.