Understanding High Anti-TPO Antibodies and Low WBC Count: Potential Thyroid Concerns

Charlie
c3: 69, c4: 14, wbc: 2.9, rbc: 5.78, mcv 67, mch: 22.1, rdw: 16.9, anti-dsDNA: 5, BUN: 5, anti-TPOab: 264. negative ANA, urea nitrogen: 3, lymphocytes: .62

Phyllis
Alright, let's start with a question, shall we? Tell me, have you been feeling unusually tired or experiencing any fatigue lately?

Charlie
no

Phyllis
Alright, let's move on then. Have you noticed any unusual bruising or bleeding?

Charlie
no

Phyllis
Alright, nothing bruising or bleeding. Tell me, have you been dealing with any joint pain or swelling?

Charlie
no

Phyllis
Alright, no joint pain or swelling. Let's see, have you experienced any changes in your weight recently, either gaining or losing without trying?

Charlie
not drastic, normal fluctuations

Phyllis
Alright, nothing dramatic with your weight. How's your diet? Are you eating well and balanced, or relying too much on junk food?

Charlie
i usually eat junk food

Phyllis
Well, eating junk food isn't doing you any favors, but let's keep digging. Do tell me if you consume alcohol frequently or engage in any recreational drug use.

Charlie
no

Phyllis
Alright, good to hear you're not indulging in alcohol or drugs. Now, I'm curious about your work or study schedule. Are you under a lot of stress, working long hours, or burning the candle at both ends?

Charlie
not at all

Phyllis
Alright then, no stress in your schedule. Now, with your blood test results showing low white blood cell count (WBC) and high anti-TPO antibodies, this could suggest an autoimmune condition, possibly Hashimoto's thyroiditis or another thyroid disorder. However, given that your ANA is negative and you're not experiencing fatigue or other typical symptoms, it's worth discussing further with a doctor to get a more precise diagnosis. Consider balancing your diet and monitoring for any changes. Do seek medical advice soon, young one.