Can you have leukemia with normal WBC?

Leukemia can also present with very low white blood cell counts, because the immature cells get trapped in the bone marrow and are not detected in blood tests. A decreasing number of blasts in the blood indicates that you're responding to treatment.
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Is WBC always elevated with leukemia?

People with CLL may have very high white blood cell counts because of excess numbers of lymphocytes (lymphocytosis), but the leukemia cells don't fight infection the way normal white blood cells do.
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Can leukemia be missed in a CBC?

Any elevated white count should bring up the possibility of acute leukemia. There is usually something in the CBC report that gives it away and there may be something in this case, which will make the failure to diagnoses earlier more egregious. The issue then is a delay in diagnosing acute leukemia.
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Can leukemia show normal bloodwork?

How Is Leukemia Treated? Your doctor will conduct a complete blood count (CBC) to determine if you have leukemia. This test may reveal if you have leukemic cells. Abnormal levels of white blood cells and abnormally low red blood cell or platelet counts can also indicate leukemia.
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How do you rule out leukemia?

A diagnosis of leukemia is usually made by analyzing a patient's blood sample through a complete blood count (CBC) or microscopic evaluation of the blood, or by using flow cytometry.
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Leukemia diagnosis | Hematologic System Diseases | NCLEX-RN | Khan Academy



What were your first signs of leukemia?

Common leukemia signs and symptoms include:
  • Fever or chills.
  • Persistent fatigue, weakness.
  • Frequent or severe infections.
  • Losing weight without trying.
  • Swollen lymph nodes, enlarged liver or spleen.
  • Easy bleeding or bruising.
  • Recurrent nosebleeds.
  • Tiny red spots in your skin (petechiae)
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What disease can mimic leukemia?

Leukemia is commonly misdiagnosed as the following conditions:
  • Influenza.
  • Fever.
  • Pathological fracture.
  • Bleeding disorders.
  • Immune thrombocytopenic purpura.
  • Trypanosomiasis.
  • Autoimmune lymphoproliferative syndrome.
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Can they miss leukemia in a blood test?

Many times, it is possible for physicians to detect chronic leukemia in a routine blood test before your symptoms even begin. This is a type of cancer of the blood.
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Can you have leukemia with low WBC?

Leukemia can also present with very low white blood cell counts, because the immature cells get trapped in the bone marrow and are not detected in blood tests. A decreasing number of blasts in the blood indicates that you're responding to treatment.
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What does CBC look like with leukemia?

Complete blood count (CBC): This blood test lets your healthcare provider know if you have abnormal levels of red blood cells, white blood cells and platelets. If you have leukemia, you'll likely have higher than normal counts of white blood cells.
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Can you have an infection without elevated white blood cell count?

The fact that leukocytosis is associated with infection does not mean that the white blood cell count is a good test for infection, because many patients with infection have no leukocytosis, and many patients with leukocytosis have no infection.
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What are leukemia night sweats like?

Night sweats may be related to leukemia when they are excessive, causing a person to wake up drenched in sweat, even when in a comfortably cool room. In some cases, the sweating may be so excessive that a person has soaked their bed sheets or clothing to such an extent that they can no longer sleep on them.
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What does leukemia fatigue feel like?

Unlike the fatigue that healthy people experience from time to time, CRF is more severe, often described as an overwhelming exhaustion that cannot be overcome with rest or a good night's sleep. Some people may also describe muscle weakness or difficulty concentrating.
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What does a leukemia headache feel like?

A sudden, excruciating headache that quickly becomes unbearably painful to the point where you can't move. Sometimes called a “thunderclap headache”, this is the most concerning type of headache as it can be caused by a life-threatening bleed on the brain.
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Can you feel fine and have leukemia?

Chronic leukemia often causes only a few symptoms or none at all. Signs and symptoms usually develop gradually. People with a chronic leukemia often complain that they just do not feel well. The disease is often found during a routine blood test.
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What blood work indicates leukemia?

A complete blood count (CBC) is a common blood test that your doctor may recommend to: Help diagnose some blood cancers, such as leukemia and lymphoma.
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What is the first stage of leukemia?

Stage 1 – A patient has high levels of white blood cells and enlarged lymph nodes. Stage 2 – A patient has high levels of white blood cells and is anemic. He or she may also have enlarged lymph nodes. Stage 3 – A patient has high levels of white blood cells and is anemic.
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What are the warning signs of lymphoma?

Signs and symptoms of lymphoma may include:
  • Painless swelling of lymph nodes in your neck, armpits or groin.
  • Persistent fatigue.
  • Fever.
  • Night sweats.
  • Shortness of breath.
  • Unexplained weight loss.
  • Itchy skin.
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What do you feel when you have leukemia?

Some symptoms, like night sweats, fever, fatigue and achiness, resemble flu-like symptoms. Unlike symptoms of the flu, which generally subside as you get better, leukemia symptoms generally last longer than two weeks, and may include sudden weight loss, bone and joint pain and easy bleeding or bruising.
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Does leukemia cause frequent urination?

Swollen lymph nodes (T-PLL, ATLL); lymph nodes are tiny, bean-shaped organs that help fight infection. Frequent urination and/or constipation from high levels of calcium in the blood, called hypercalcemia (ATLL).
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What does leukemia joint pain feel like?

Bone pain can occur in leukemia patients when the bone marrow expands from the accumulation of abnormal white blood cells and may manifest as a sharp pain or a dull pain, depending on the location. The long bones of the legs and arms are the most common location to experience this pain.
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Do you sweat during the day with leukemia?

Night sweats that occur due to leukaemia will usually be experienced alongside other symptoms such as fatigue, weight loss or excessive bruising. The night sweats may also present in the daytime as fever, or can lead to sleeping problems.
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Do leukemia bruises hurt?

Examples of common early leukemia symptoms include: loss of appetite. bone pain. easily bruising.
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Can I have an infection with normal WBC?

Seventeen percent of infected patients had both a normal white count and no fever. There are many reasons why temperature and white count can be normal in a patient with an infection. For example, when these may not appear until later in an infection, particularly in elderly populations.
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Can you have an infection with normal blood work?

If one of your blood culture tests comes back positive and the other comes back negative, it still could mean you have an infection. But it could also mean that one of the blood samples was contaminated with bacteria from your skin. Your doctor might order more tests or need more information before making a diagnosis.
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