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Is Leukemia High or Low WBC?

Published in Blood Cancer 3 mins read

Leukemia is typically characterized by a high white blood cell (WBC) count. This condition involves the excessive production of abnormal white blood cells in the bone marrow.

Understanding White Blood Cells in Leukemia

In leukemia, the bone marrow, which is responsible for producing all blood cells, begins to create an overwhelming number of white blood cells that are genetically damaged and abnormal. Unlike healthy white blood cells that fight infection and disease, these leukemic cells do not function correctly.

These rapidly multiplying, abnormal white cells quickly overwhelm the bone marrow. This critical overpopulation significantly impacts the marrow's ability to produce other essential blood components:

  • Normal white blood cells: The production of healthy infection-fighting cells is slowed or stopped.
  • Red blood cells: Responsible for carrying oxygen throughout the body.
  • Platelets: Essential for blood clotting.

The result is a surplus of non-functional white blood cells, leading to a high overall WBC count, while the body simultaneously suffers from a deficiency of functional blood cells.

The Role of Healthy White Blood Cells

White blood cells, also known as leukocytes, are a crucial part of the body's immune system. They come in several types, each with specific roles in defending against bacteria, viruses, fungi, and other pathogens. When healthy, these cells protect the body from illness and infection. In leukemia, however, the abundant WBCs are defective, rendering the immune system compromised despite the high count.

Diagnosing Leukemia

A common diagnostic tool for leukemia is a Complete Blood Count (CBC), which measures the number of red blood cells, white blood cells, and platelets in a blood sample. A CBC can reveal an abnormally high WBC count, which often prompts further investigation into a potential leukemia diagnosis. For more detailed information on blood tests, you can refer to resources like the National Cancer Institute.

Key Characteristics of Leukemic White Blood Cells

Here are the defining features of white blood cells in leukemia:

  • Excessive in Number: There is an overproduction, leading to an abnormally high count.
  • Genetically Damaged: The cells have genetic mutations that lead to their uncontrolled growth.
  • Abnormal Function: They do not mature or function properly to fight infections.
  • Overwhelm Bone Marrow: They accumulate in the bone marrow, disrupting the production of healthy blood cells.

Normal vs. Leukemic White Blood Cell Counts

While normal ranges can vary slightly between laboratories, here's a general comparison:

Blood Cell Type Normal Range (Cells per microliter) Leukemic Range (Cells per microliter)
White Blood Cells 4,500 – 11,000 Often > 50,000, sometimes > 100,000

Note: These ranges are illustrative and can vary. A diagnosis of leukemia depends on many factors beyond just the WBC count.

Impact on Overall Health

The overabundance of non-functional WBCs and the resulting deficiency in healthy red blood cells, normal WBCs, and platelets can lead to various symptoms and health issues, including:

  • Increased susceptibility to infections due to a compromised immune system.
  • Anemia, causing fatigue, weakness, and shortness of breath, due to insufficient red blood cells.
  • Easy bruising or bleeding due to a lack of platelets.

Understanding these aspects is crucial for grasping the complex nature of leukemia. For further reading, reliable sources like the Mayo Clinic offer comprehensive information on leukemia.