I know 90% of people with lupus has low wbc counts, but in my case, it has always been very high, along with high platelets, yet low to normal rbc. And then there's my spleen that used to work, but somehow died in 2012. Its still inside of me, its just dead.
Anyways, im just wondering why my symptoms are different from everyone else and is it possibly because of the above abnormalities?
Karleen, I researched this, as I had not heard of asplenia in lupus patients. A 20-year-old study found that 3-7 % of lupus patients have this condition, and it may be due to vasculitis or antiphospholipid antibodies. I'm sure you know your asplenia makes you even more prone to infections, and I hope your doctor is giving you all the appropriate vaccines, including the meningococcal and Haemophilus vaccines.
That's a really unique situation, and it makes complete sense to wonder why your blood counts look so different from what's typically described with lupus.
You're right that low white blood cell counts (leukopenia) are very common in lupus, affecting around 50β60% of people with SLE. However, lupus can affect blood counts in Show Full Answer