[alevoy18]

Hi,

Over the last two years I've had array of things go wrong, from getting a pacemaker at age 22 for low heart rate, to low blood pressure, to now tachycardia events (so am on betablocker), to finally a diagnosis of Celiac Disease in November.

Over these two years, I've always been either mildy anemic or borderline low, never any higher. Also my WBC has always been between 4.0-6.5 and I've had chronic mildly low lymphocytes during this time.

Over the last few months I had an ultrasound that found Lymph nodes in my neck (largest 1.4cm x 0.8cm) and in my armpit (largest 2.5 x 0.8cm). The ultrasound also found an 8mm thyroid nodule. I was scheduled for an FNA of the nodule, but over a month the nodule now appears to no longer be there, but I have had a more worrisome looking nodule starting to grow on the right side at 6mm (hypoechoic and ill-defined margins).

During the time of all these findings my Absolute Lymphocyte count has gone done from 1100 to 900 to now 650 (reference range 1500-4000), while my WBC count has stayed the same at around 5.5 (ref range 4 - 11). My GP is getting a little concerned as why my lymphocytes continue to go down while my WBC stays the same, as usually with an infection your WBC goes up. Also in the past, I had three blood tests come back with low absolute retic count (around 13, ref range 25-80). I did see a hematologist, but she said my numbers were not low enough to warrant a bone marrow biopsy. Wouldn't low retic count, on and off mild anemia, chronic low lymphocytes (now even lower) and lymph nodes be enough to warrant a look at my bone marrow?? I am scheduled for a biopsy of my armpit lymph node but I am not worried since the ultrasound said it didn't appear to be malignant.

I have just felt really worn down of the last few months, not sick, just really weak. Does anybody have any experience with numbers like this or have any advice on how I should go about looking into this?

Here are my latest lab results from Tuesday.

WBC: 5.76 (range 4 - 11)
ABS Neutrophils: 4.19 (ref range 2.0 - 6.3)
ABS Lymphocytes: 0.65 (ref range 1.5 - 3.5)
ABS Monocytes: 0.57 (ref range 0.2 - 0.8)
ABS Eosinophils: 0.31 (ref range 0.04 - 0.4)
ABS Basophils: 0.03 (ref range 0.00 - 0.1)

RBC: 4.3 (ref range 4.3 - 5.6)
Hemoglobin (HGB): 135 (range 130 - 170)
Hematocrit (HCT): 38.5 (range 40 - 50)
PLT: 190 (range 140-400)

B12: 276 (range 220 - 1000)
Ferritin: 71 (range 50-80=reduced, >80=normal)