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10 Best Hematologists in Neb Sarai

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Dr. Rayaz Ahmed Hematologist

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Dr. Nagender Sharma Hematologist

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Dr. Rahul Naithani Hematologist

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Dr. Kamna A A.shroff Hematologist

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Questions & Answers on "Hematologist" (256)

Dear Doctor, Due to my father's high blood viscosity, suspicion of polycythemia arises, necessitating blood draws every 3 weeks to maintain appropriate levels. At 69 years old, he experiences symptoms such as skin itching, swelling, head numbness, and fatigue. Currently, his JAK2 V617F mutation showed 0.8 then 1.2%, with JAK2 exon 12 negative and EPO at 13.4. Abdominal CT and chest X-ray are normal. After a few months of phlebotomy, his levels normalized. Now, we await the bone marrow biopsy results, which do not confirm Polycythemia Vera: "Microscopic description: The bone marrow biopsy sample shows somewhat hypocellular hematopoietic parenchyma relative to age, which is terminally mature. Myeloid ratio is 2:1 with dominance of late precursors; no blast cells are noted. The number of megakaryocytes is normal with no clustering. There is no interstitial fibrosis or lymphoid infiltrate. Diagnosis: Mature, hypocellular hematopoietic parenchyma without myeloproliferative features. Cytogenetic analysis confirmed male karyotype; no clonal chromosomal abnormalities detected. Indication for examination D7510 Secondary polycythemia Note Submicroscopic rearrangements, small structural chromosomal aberrations, DNA-level differences cannot be ruled out with the method used." I am quite confused as JAK2 positivity typically suggests PV, yet the biopsy suggests otherwise, possibly indicating secondary polycythemia. Could you please clarify based on this information what you personally think is more likely, Polycythemia Vera or another secondary cause? Thank you very much for your help.

Male | 67

Your father's symptoms and test results do suggest some complexity. The presence of JAK2 mutation often points towards Polycythemia Vera (PV), but the bone marrow biopsy does not show typical myeloproliferative features, suggesting it might be secondary polycythemia instead. Consult a hematologist, specializing in blood disorders, and can provide a more accurate diagnosis and appropriate treatment plan.

 

Answered on 3rd July '24

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Since 26 September I am having fever and 1 October is my rituximab appointment. Should I take this now or wait for sometime. I had taken influenza vaccine 2 vaccine on 27 September. Kindly suggest

Female | 55

Fever can be out by infections such as the flu. Vaccination can sometimes cause low-grade fever as a normal reaction. Since you have a rituximab appointment on 1 October, you must explain your fever to your doctor before proceeding with the treatment. They will give you the best advice tailored to your situation. 

Answered on 1st Oct '24

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I've been sick for months , my white blood cell and t cells are abnormal but primary not doing anything about it

Male | 51

Your blood tests showe­d weird white cells and T ce­lls. Those cells fight germs. So we­ird counts may mean your immune system isn't working right. Be­ing tired, sick often, and losing weight for no re­ason - those could be signs too. Visit a hematologist to get proper treatment.

Answered on 5th Sept '24

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We have done routine test and in that asylum serum is increased at 142. Is it something to worry about

Male | 44

Albumin serum le­vels tell if your body is balanced. Incre­ased albumin can occur from dehydration, high-protein intake­, or medications. You likely won't notice change­s. Drink more water and eat balance­d meals to help. Discuss concerns with your he­althcare provider if nee­ded.

Answered on 24th July '24

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