Sunday, February 3, 2013

High WBC/High ANC

Didn't see that coming since supposedly his ANC should be really low.  But his WBC is 11.5 and ANC over 9500 (for a healthy person, normal range is 1500-8000).   The WBC was 2.9 and ANC 1400 last Monday.  One thing relieving right now is that that all the white blood cells are mature ones (so no cancer cells).  Still it's rather alarming to have ANC change like this considering he has been undergoing chemo and ANC should have gone lower rather than higher.  As we have said earlier, anything that doctors don't expect to see is not what we want to have.  Since the protocol that works very well is designed for the typical cases, we are less confident how doctors handle unexpected scenarios.  The ER doctor who had limited knowledge of leukemia treatment was surely not very reassuring when we asked him Why and What to do.

I did find some information by Google.

http://www.reference.com/motif/health/explain-high-absolute-neutrophil-count

"Therefore, an abnormally high absolute neutrophil count is indicative of a potential threat to the body's immune system or a miscommunication between the body and its internal environment."

It's unexpected that if he has an infection, he is actually producing more good fighting white blood cells. And we haven't been able to identify any other signs of infection. The part after "or" is interesting. So if there's no actual viral or bacteria infection to fight, can ANC be elevated just because the body perceives something that does not exist. So it's a temporary state that we experience when the body heals?

http://community.lls.org/thread/9277?tstart=42

At least it happened to some other leukemia kid before and ANC went back down on its own within a week.

We will have the opportunity to talk to the Hematologist on call today. I hope we will get some reassuring answers to our many questions.

1 comment:

  1. I remember that Qiqi once had a ER visit due to fever. Her ANC was 4500 at that time. Doctors didn't fine infection. After antibiotics and observed for 12 hours, she was discharged and her temperature.went down pretty soon.

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