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Medical Forum / Diseases and Disorders / Lupus / June 2004

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lymphocytes 0.5?

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herbwormwood - 09 Jun 2004 12:01 GMT
Hi,
A recent blood test as part of azathioprine monitoring showed my  
lymphocytes at 0.5. Everything else seems ok.
Can anyone advise me on this? I know low  lymphocytes are part of lupus
but  my doctor thought 0.5 was a bit extreme.
Thanks!

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BJ - 09 Jun 2004 15:29 GMT
Hi Lynn,
My lymphocytes are always that low. They have gone to 0.7 sometimes, but
that is unusual. My blood man seems to think that is okay, so I don't worry
about it. I think he said that a low neutrophil count is the one that gets
them looking.
BJ-Sk. Canada
> Hi,
> A recent blood test as part of azathioprine monitoring showed my
> lymphocytes at 0.5. Everything else seems ok.
> Can anyone advise me on this? I know low  lymphocytes are part of lupus
> but  my doctor thought 0.5 was a bit extreme.
> Thanks!
Andy Woitowicz - 09 Jun 2004 20:55 GMT
Yikes, my lymphocytes are at .16 !! What does this mean? The test
report shows the normal RANGE to be .20 to .50 so how can you say
yours are low at .5??

Andie

> Hi Lynn,
> My lymphocytes are always that low. They have gone to 0.7 sometimes, but
[quoted text clipped - 8 lines]
> > but  my doctor thought 0.5 was a bit extreme.
> > Thanks!
BJ - 09 Jun 2004 21:57 GMT
Hi Andie,
Maybe your lab reports it differently. I am in Canada and the labs here show
normal range to be 1.2-3.4.  So at 0.5 mine is low.
BJ-Sk. Canada
> Yikes, my lymphocytes are at .16 !! What does this mean? The test
> report shows the normal RANGE to be .20 to .50 so how can you say
[quoted text clipped - 14 lines]
> > > but  my doctor thought 0.5 was a bit extreme.
> > > Thanks!
Andy - 10 Jun 2004 11:30 GMT
>Yikes, my lymphocytes are at .16 !! What does this mean? The test
>report shows the normal RANGE to be .20 to .50 so how can you say
>yours are low at .5??

Check that you are both using the same units - herbwormwood is in UK.

(I know of this units problem in blood sugar readings, and in gallons of
gas!)
Signature

Andy Taylor [Chair, N E Lupus Group]
See http://www.northeastlupus.org.uk for more!

REP - 11 Jun 2004 06:39 GMT
> >Yikes, my lymphocytes are at .16 !! What does this mean? The test
> >report shows the normal RANGE to be .20 to .50 so how can you say
> >yours are low at .5??
>
> Check that you are both using the same units - herbwormwood is in UK.

I missed the OP, but a low lymphocyte count is not unusual with chronic
inflammatory diseases. Probably not the question being asked, but I
found that out when my leuk. count (and other whites) were low despite
having an active infection.

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"Did Father shoot him? I will eat Grandfather for dinner."
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KCat - 09 Jun 2004 18:20 GMT
> Hi,
> A recent blood test as part of azathioprine monitoring showed my
> lymphocytes at 0.5. Everything else seems ok.
> Can anyone advise me on this? I know low  lymphocytes are part of lupus
> but  my doctor thought 0.5 was a bit extreme.
> Thanks!

is this new?  Have you had low lymphocytes for some time or has this count
only been recent?  If it's just happened once and recently than I would say
you need another data point before worrying over much.  Likewise if they've
been low for a number of years with no obvious ill effects.  If it's been a
steady decline over the last year or so... then I'd say go ahead and get it
checked out further.

My doc recently had me see a hematologist because my counts were
consistently low and some counts were too high.  The hematologist came to
the same conclusion I had come to - this is just how I am with autoimmune
disease.  But I think the rheumy just wanted to cover her backside.  So -
it's done.  She's in the clear and so am I. :P
herbwormwood - 11 Jun 2004 13:12 GMT
>> Hi,
>> A recent blood test as part of azathioprine monitoring showed my
[quoted text clipped - 9 lines]
> steady decline over the last year or so... then I'd say go ahead and get it
> checked out further.

Hi,
Apparently it is just the most recent two tests, which ties in with a few
things which happened about that time, an increse in azathioprine, a
reduction in pred, and an increase in the raw and living foods content of
my diet (thats beansprouts and salads to the non-veggies out there)!
My GP has asked me to come back for a repeat in a few weeks, and she is
going to ask for an immunoglobin as well. Apparently she chatted with a
heamotologist about the result and they said it wasn't anything to worry
about and was either due to prednisolone or lupus! As I am only on 4 mg
prednisolone alt days I doubt the former.

> My doc recently had me see a hematologist because my counts were
> consistently low and some counts were too high.  The hematologist came to
> the same conclusion I had come to - this is just how I am with autoimmune
> disease.  But I think the rheumy just wanted to cover her backside.  So -
> it's done.  She's in the clear and so am I. :P

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Andy - 11 Jun 2004 14:49 GMT
[
>Apparently it is just the most recent two tests, which ties in with a few
>things which happened about that time, an increse in azathioprine, a
>reduction in pred, and an increase in the raw and living foods content of
>my diet (thats beansprouts and salads to the non-veggies out there)!

Quoting from the FAQ:

       In general avoid supplements that are made with alfalfa sprouts
       as a base. In small doses, such as on the occasional sandwich,
       sprouts are generally harmless. In the concentrated form found
       in many supplements they can increase inflammation in some
       patients. [See The Lupus Book Second Ed. pg. 179] Alfalfa
       sprouts are a legume and all legumes contain the same chemical
       (L-canavanine) that causes this inflammation but alfalfa
       contains this chemical in a higher concentration. Normal
       ingestion of legumes should not be of concern to most patients.

I don't know if beansprouts are a legume or to what extent they contain
this L-canavanine but it might be worth following up.

>My GP has asked me to come back for a repeat in a few weeks, and she is
>going to ask for an immunoglobin as well. Apparently she chatted with a
>heamotologist about the result and they said it wasn't anything to worry
>about and was either due to prednisolone or lupus!

"Gee, thanks"
Signature

Andy Taylor [Chair, N E Lupus Group]
See http://www.northeastlupus.org.uk for more!

Beverley - 11 Jun 2004 20:00 GMT
Beans, peas, and peanuts are all legumes. And so are soy beans but I don't
know how they fit into the no legume picture. They might be very low in
L-canavanine.
Bev

> [
> >Apparently it is just the most recent two tests, which ties in with a few
[quoted text clipped - 23 lines]
>
> "Gee, thanks"
 
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