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» LymeNet Flash » Questions and Discussion » Medical Questions » Follow up - bone marrow results

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Author Topic: Follow up - bone marrow results
hurtingramma
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I just got a copy of my results from the lab and it's 6 pages long. But the pathological diagnosis says

"neutropenia with relative erythroid hyperplasia"

Does that mean normal? I see my LLMD today, which is why I got a copy to take to him. I see the hematologist on March 9th.

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Geneal
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Neutropienia means an abnormally low count of white blood cells called neurtophils.

Erythroid hyperplasia was definitely more difficult to access.

However, can be caused by infection.

I wish I could tell you more.

Please keep us posted.

Hugs,

Geneal

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bettyg
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for our RNs and other medical professional members who can help you decipher this...
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hurtingramma
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My LLMD's interpretation of the results was that my body is not producing enough white blood cells, but we already knew that. Caused by the Lyme itself or the abx. We're waiting to see what the hematologist says.

And my CD57 was low.

I am also slightly anemic - which is new. All past blood tests never showed that. Maybe blood is different from bone marrow???

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treepatrol
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Is it "neutropenia with relative erythroid hyperplasia"
Or erythroid hypoplasia
if its the second version it meens anemia.

Or my best guess
Ineffective erythropoiesis with erythroid hyperplasia of marrow but low reticulocyte count and anemia
Means you need B12 & Folate?
Initially termed ``refractory'' because refractory to iron, folate and vitamin B12 supplements

Diagnosis of exclusion; must eliminate other possible causes of anemia (folate/B12 deficiency, drugs, toxins, arsenic, congenital dyserythropoietic anemia)


Antibiotics causeing malabsorbtion of b12 and other b vitamins start b12 shots like i did.
and use more acidopholis and yogurt you need to get back your intrinsic factor so you can absorb b12.

You can also suppliment with a good sublingual b12 & folate.

Ill bet you have a low level ache all the time ?
Hows your eyes? Teeth?

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treepatrol
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Probiotic

B12 extreme

B-COMPLEX, ULTRA

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Do unto others as you would have them do unto you.
Remember Iam not a Doctor Just someone struggling like you with Tick Borne Diseases.

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disturbedme
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Hi, hurtingramma!

How was the bone marrow biopsy - did it hurt?

My bone marrow biopsy report was about four pages long...

My report also says "'Relative Erythroid Hyperplasia' but that the cause for leukopenia (low white blood cell counts in the blood) is not apparent. The iron studies are negative in core and clot and in combination with mild relative erythropoiesis and iron deficiency."

But I was told that my results were normal and that they could not find the cause for my low white blood cell count in the blood and that my bone marrow is making enough white blood cells but that when those white blood cells get to the blood, they are being killed off by something.

Good luck and keep us updated on things! I'm very interested since I also had a bone marrow biopsy and also have "relative erythroid hyperplasia".

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disturbedme
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Dang, I am trying to google what Relative Erythroid Hyperplasia means but to no avail... augh. Last time I saw my hematologist I meant to ask him about all that, but forgot, as usual....

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hurtingramma
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Thanks for all the info tree - it is hypERplasia. Again, the interpretation was the LLMD's and not the hematologist.

My eyes are not better or worse then they ever have been. I do not have 20-20 vision, even with glasses. I have a small cataract in one eye, which is new with the ld. My teeth are another story, I haven't had a cavity in 20 years and have had 4 in the past 2 years. I assume that's the tetra.

disburbeme, it was certainly a different feeling. You can actually feel the "draw" but that part didn't hurt. What did hurt was the pressure applied to "plug the hole". I had bruises on my hip for a week!

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hurtingramma
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OK - I looked the report over again and what it actually said was "the tangible iron is present but appears decreased", whatever that means.

The very last page of the report says "normal female karyotype. Time to google again!

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"Few of us can do great things, but all of us can do small things with great love". Mother Theresa

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