Dr Rahul Bhargava Haematologist

MBBS, MD, DM (Clinical Haematology)

Principal Director & Chief Hematology at Fortis Hospital

MBBS, MD, DM (Clinical Haematology)

Principal Director & Chief Hematology at Fortis Hospital

Monocytosis

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Frequently Asked Questions (FAQ) :

A monocyte count above 800 per microliter of blood is generally considered high, but the range may vary depending on the lab.

 

Yes, monocytosis can be linked to blood cancers like leukemia. Further tests are necessary to confirm the diagnosis.

 

Monocytosis itself is not life-threatening but may indicate a serious underlying condition, which requires treatment.

 

About Monocytosis

Monocytosis refers to an elevated level of monocytes in the blood, which is part of the body’s immune response. Monocytes help fight infections and remove dead or damaged cells, but when their levels are too high, it may signal an underlying health condition.

Dr. Rahul Bhargava, a renowned haematologist, explains that timely diagnosis and treatment are essential for managing the condition and preventing complications.

Causes of Monocytosis

Several factors can cause monocytosis. Some of the most common causes include:

  • Chronic infections (e.g., tuberculosis, syphilis)
  • Autoimmune diseases (e.g., lupus, rheumatoid arthritis)
  • Inflammatory conditions
  • Certain types of cancer (e.g., leukemia, Hodgkin lymphoma)
  • Recent recovery from infections
  • Bone marrow disorders
  • Stress or severe emotional distress

Understanding the cause is essential in determining the appropriate treatment plan.

Types of Monocytosis

Monocytosis can be classified into two main types:

  1. Reactive Monocytosis: This occurs due to infections or other inflammatory conditions. Once the underlying condition is treated, monocyte levels typically return to normal.
  2. Malignant Monocytosis: This is associated with blood cancers like chronic myelomonocytic leukemia (CMML) or acute myeloid leukemia (AML), requiring specialized treatment.

Dr. Rahul Bhargava specializes in the diagnosis and treatment of both types of monocytosis.

Symptoms of Monocytosis

Monocytosis itself may not cause symptoms, but it often points to an underlying condition. Common symptoms associated with the causes of monocytosis include:

  • Persistent fatigue
  • Unexplained weight loss
  • Fever or frequent infections
  • Swollen lymph nodes
  • Joint pain or swelling
  • Night sweats

If you notice any of these symptoms, it is crucial to seek medical advice for further evaluation.

Diagnosis of Monocytosis

Diagnosing monocytosis typically involves:

  • Complete Blood Count (CBC): This test checks the overall levels of blood cells, including monocytes.
  • Bone Marrow Biopsy: If cancer or bone marrow disorders are suspected, this test helps in confirming the diagnosis.
  • Additional Tests: Based on the underlying condition, tests like imaging studies, infection screening, or autoimmune tests may be recommended.

Dr. Bhargava emphasizes a thorough diagnostic process to determine the root cause of monocytosis, allowing for precise treatment.

Treatment for Monocytosis

The treatment for monocytosis depends on the underlying cause:

  • Infections: Antibiotics or antiviral medications may be prescribed.
  • Autoimmune Diseases: Immunosuppressive drugs and other therapies are used to control inflammation.
  • Blood Cancers: Chemotherapy, targeted therapy, or bone marrow transplants might be necessary.

Cost of Treatment and Stay in India

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