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Pediatric Blood Cancers Archive Questions

Below are Dr. York’s answers to Pediatric Blood Cancers questions
received through the Ask the Expert feature.

This content is provided for informational purposes only, and is not intended
to be a substitute for individual medical advice in diagnosing or treating a
health problem. Please consult with your physician about your specific health
care concerns.

Now displaying records 1 to 4 of 4.


Q : 1

How concerning is it for an otherwise healthy nine-year-old girl with mono to have an absolute neutrophil count of 0? Is this a reason to make an appointment with an oncologist?

An ANC of zero is pretty profound so it would depend on the rest of her labs and if she has evidence of monocytes on her peripheral blood count. The mono virus can cause neutropenia, low absolute neutrophil count, but this should recover.

Q : 2

My one-year-old son has a neutrophil count of 400 -- can or should something be done urgently? He is otherwise healthy.

You should discuss this with your pediatrician. Neutrophil counts can change after many things. This has to be reviewed, along with other lab values, to determine if further investigation is necessary now or if it is appropriate to repeat the labs at a later time.

Q : 3

I am a 14-year-old male. I saw an unexplained bruise in my hip which disapeared about a week later. This week I got a blood count, which showed slightly decreased leukocytes and lymphocytes but platelets were normal (212,000). I have beta Thalassemia traces (does not affect my daily life), so I always have decreased hemoglobin and decreased red cell size. Could the Thalassemia be the cause of the decreased leukocytes and lymphocytes? Everything else in the count was normal.

Thalassemia would only possibly affect the hemoglobin and red cell size. This would not decrease your leukocytes and lymphocytes. This is usually from a viral infection but you should discuss this with your doctor who ordered the lab work.

Q : 4

My 3-year-old son has an LDH of 255, but the doctor says not to worry even though it is out of range. We were told that his range was 192. Should we get a second opinion?

Labs vary on the ranges. You have to look at the whole picture with the patient's exam and labs including a complete blood count. An elevated LDH is non-specific as there are more than one source of LDH in the body.


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