How would you work up a mildly neutropenic patient (ANC >800) with family history of neutropenia and personal history of occasional mouth sore?
What are indications to order gene mutation studies (e.g. ELANE) and how would it help the patient?
Answer from: at Community Practice
The first question is whether to evaluate the neutropenia at all. With ANCs >800 and only occasional mouth sores, is a diagnosis necessary, and should the term “neutropenia” be used at all? If the family’s origin is in a part of the world where the Duffy null phenotype is common...
Comments
Medical Oncologist at Wentworth Douglass Hospital Dr. @Peter Newburger, what are the further steps i...
at UMass Chan Medical School The best answer is to refer to a hematologist expe...
Medical Oncologist at Wentworth Douglass Hospital Thank you for the detailed reply!
Dr. @Peter Newburger, what are the further steps i...
The best answer is to refer to a hematologist expe...
Thank you for the detailed reply!