Aa
Aa
A
A
A
Close
Avatar universal

Consistently elevated WBC every annual exam

Hello. I've consistently had elevated WBC counts on every annual physical exam I've taken for the past 10 years. This year the count is 13.7, and last year was 12.3. The lowest I've had was around 11.5. Should I be worried?
4 Responses
Sort by: Helpful Oldest Newest
1081992 tn?1389903637
COMMUNITY LEADER
Hi, which of the white cells are high, the Lymphocytes?
Helpful - 0
1 Comments
Neutrophils
1081992 tn?1389903637
COMMUNITY LEADER
Well, a leukemia in neutrophils would be rare, as opposed to in lymphocytes. Here are the numbers to look for on your CBC:

https://onlinelibrary.wiley.com/doi/full/10.1002/ajh.24983
"Chronic neutrophilic leukemia (CNL)... for which current WHO diagnostic criteria include leukocytosis [the WBC] of ≥ 25 x 109/L of which ≥ 80% are neutrophils"

So that would be absolute neuts of greater than 20.

Otherwise, if there is not some chronic infection or inflammation, there is such a thing as "chronic idiopathic neutrophilia", which means the cause is unknown -- and "Cigarette smoking and obesity are confirmed as factors associated with CIN and may be causative."
https://www.ncbi.nlm.nih.gov/pubmed/21886049
Helpful - 0
1 Comments
In other words, I don't think any doctor would be concerned.
Avatar universal
Nonmalignant causes of neutrophilia:
https://www.aafp.org/afp/2015/1201/p1004.html#afp20151201p1004-t3

Sample approach for evaluation of leukocytosis:
https://www.aafp.org/afp/2015/1201/p1004.html#afp20151201p1004-f5
Helpful - 0
1081992 tn?1389903637
COMMUNITY LEADER
One thing though: high white cell counts can be thought of as markers for inflammation. Even low level chronic inflammation over many years can contribute to problems such as heart disease and cancers.

How are your ESR and hsCRP test results?
Helpful - 0
Have an Answer?

You are reading content posted in the Leukemia and Lymphoma Community

Top Leukemia & Lymphoma Answerers
1081992 tn?1389903637
PA
Learn About Top Answerers
Didn't find the answer you were looking for?
Ask a question
Popular Resources
An interview with the co-discoverer of one of the biggest breakthroughs in cancer research
From causes to treatment options, get answers to your questions about CML, a type of blood cancer
New drug options on the horizon may make CML, a type of blood cancer, one of the few success stories in cancer treatment
Herpes sores blister, then burst, scab and heal.
Herpes spreads by oral, vaginal and anal sex.
STIs are the most common cause of genital sores.