Oddity brushed off in lab results

[Guest guest]

Hi everyone,

I'm at a loss as to what to think of these results. My sons ped., upon my

request had a

second hematologist read the results and no one seems concerned about it. The

ID doctor

brushed it off but said that he could be possibly anemic. His tests for anemia

came back

negative.

So my crazy question of the day... how do I know that my son was born with a

spleen? I've

been reading about how the spleen is a big contributer to the immune system.

And the

only reason I even wonder this is because the results read " post splenectomy? "

as a

possible conclusion.

So I am posting the exact text from the lab report below. I know that no one

can give me

medical advice, but just your opinion. And that is what I'm seeking. Should I

be asking to

see a rhuematologist at his next fever? I consider ourselves lucky in that

Renan fevers

approx. every 6-8 weeks. He does complain of tummy aches and joint pain but no

mouth

sores or throat irritations that he's mentioned.

Thanks as always! I truly appreciate all of your posts. Your courage is what

keeps me

researching.

--

The report reads (according to his ped.) that he is anemic but he's not anemic.

So at that

point he just brushed it off. Here is what the review says:

" Review of the peripheral smear demonstrates RBC variation, including

echinocytes, some cells suggestive of acanthocytes, occasional tear

drop shaped cells and rare smaller fragments. WBC's include

occasional cells with nuclear hyposegmentation. Occasional enlarged

platelets are noted. Clinical correlation is required. If there is

no clinical explanation (?postsplenectomy?) hemoglobin

electrophoresis could be considered, however the hemoglobin is within

the normal range. "