instruction: hi doctor I am curious about my friend blood results blood tests show that his lymphocytes abs is 71 before six months and 35 before three months compared to the normal range that came with the results which is 30 60 10 l do you think is there something to be worried about
output: hello I reviewed the records having more lymphocyte count is known as lymphocytosis benign or reactive lymphocytosis transient nature can be seen in an infectious disease like viral illness this does not seem to be the case as it persists for a few months other causes that could persist are noninfectious causes like stress drug reaction having spleen removed in the past etc malignant lymphocytosis there is an entity called chronic lymphoproliferative disorders clad this is a very slow growing blood malignancy usually happens in individuals more than 60 65 years some times patients do throw symptoms like low grade fever weight loss anemia night sweats etc they may or may not be associated with low platelet count to anemia which is not the case with your friend with all this background knowledge please see which ones is fitting for him I will discuss the worse scenario because I guess you will be curious otherwise having clad is less likely as your friend is young and he is not having anemia or low platelet counts regarding the clad prognosis it is one of the very slow growing entity we do not treat the early stages as well as they are so slow treating has more drug side effects than the clad itself getting a flowcytometry is rational in his case but it is not urgent you can wait for even few months if there is an issue of lockdown due to coronavirus again I am not saying he has any particular disease but I want to explain everything in detail so that you have a good understanding