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Granulocyte count (absolute)

Published: August 9, 2026Updated: August 16, 2026

This test measures the number of granulocytes, a type of white blood cell, in your blood. Granulocytes help fight infections and inflammation.

Quick summary

["Granulocytes are key defenders against bacteria and fungi."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
61124-4
Short code
Granulocytes NFr Spec FC
Synonyms
Granulocytes NFr Spec FC
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
flow-cytometry
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

What Is a Granulocyte Count?

Granulocytes are a subset of white blood cells (leukocytes) that include neutrophils, eosinophils, and basophils. They play a critical role in immune responses, particularly against bacterial and fungal infections. An absolute granulocyte count helps doctors assess your ability to fight infections, especially in cases where other white blood cell counts (like total white blood cell count) may not be informative enough.

Why Might You Need This Test?

Your doctor may order this test if you have symptoms of infection (such as fever, fatigue, or swelling), if you’re undergoing treatment for conditions that affect white blood cells (like chemotherapy, autoimmune diseases, or certain cancers), or if you have a known risk for infections due to conditions like diabetes or kidney disease. It can also be used to monitor treatment effectiveness or side effects of medications.

How Is the Test Performed?

A small sample of blood is drawn from a vein, usually in your arm. The blood is then analyzed in a lab to count the number of granulocytes. This is typically done using automated blood cell counters or specialized laboratory techniques.

What Do the Results Mean?

Results are usually reported as a count of granulocytes per microliter (µL) of blood. While specific reference ranges can vary by lab, very low counts (below normal) may indicate conditions like bone marrow disorders, severe infections, or certain medications that suppress white blood cells. Very high counts may suggest chronic inflammation, infections, or other immune-related conditions.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Granulocyte counts are crucial for diagnosing and managing infections, autoimmune diseases, and conditions affecting the bone marrow. Low granulocyte counts (neutropenia) can increase the risk of serious infections, while high counts may signal underlying inflammation or immune activation. Regular monitoring is important for patients undergoing treatments that affect white blood cell production.

Short name

Granulocyte Absolute Count (GAC)

Frequently asked questions

What causes granulocyte counts to be low?
Low granulocyte counts can result from conditions like chemotherapy or radiation therapy (which damage bone marrow), autoimmune diseases (such as lupus or rheumatoid arthritis), certain infections, or genetic disorders like congenital neutropenia. Medications like steroids or certain antibiotics may also temporarily suppress granulocyte production.
What are the symptoms of abnormal granulocyte counts?
Symptoms of low granulocyte counts may include frequent or severe infections (such as skin infections, sinusitis, or urinary tract infections), slow wound healing, and fatigue. Symptoms of high granulocyte counts might include persistent fever, joint pain, or unexplained swelling, though these can also occur with other conditions.
How often should I get this test?
Your doctor will determine the frequency of testing based on your medical history, current treatments, and symptoms. If you’re undergoing treatment for a condition that affects white blood cells, you may need regular monitoring. If you have a chronic condition like diabetes or kidney disease, your doctor may also recommend periodic checks.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy