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Granulocyte count (manual differential blood count)

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

This test measures the percentage of different white blood cell types, including granulocytes (neutrophils, eosinophils, basophils), which help your body fight infections and inflammation. It’s often used to assess immune function or diagnose conditions like infections, allergies, or blood disorders.

Quick summary

["Understanding your granulocyte counts can help doctors diagnose or monitor health conditions affecting your immune system."]

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

Key facts at a glance

LOINC
14378-4
Short code
Granulocytes NFr Ur Manual
Synonyms
Granulocytes NFr Ur Manual
Category
chemistry
Sample
urine
Container
Sterile urine container
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
manual-count
Specimen volume
10 mL
Stability
Room temperature: 2h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
4–24 hours
Order
routine

Why This Test Is Done

Doctors may order this test if you have symptoms like frequent infections, unexplained fevers, or signs of inflammation (such as swelling or redness). It can also be part of routine blood work to check overall health or monitor conditions like leukemia, autoimmune diseases, or certain allergies.

What to Expect Before the Test

No special preparation is needed for this test. You’ll have a small needle inserted into your arm to draw blood, similar to other routine blood tests. If you’re nervous, let your healthcare provider know—they can help make it more comfortable.

How the Test Results Are Interpreted

Results show the proportion of granulocytes (neutrophils, eosinophils, basophils) in your blood. While absolute counts are often reported separately, this test focuses on relative percentages. Abnormal results may suggest infections, immune disorders, or other conditions affecting white blood cell balance.

Common Conditions Affecting Granulocyte Counts

Low granulocyte counts (neutropenia) can make you more prone to infections, while high counts may indicate chronic inflammation, allergies, or certain cancers. Doctors will review your full blood work and medical history to understand the cause.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical significance: Granulocyte differentials are critical for diagnosing immune disorders, infections, or blood cancers. For example, high eosinophil counts might suggest allergies or parasitic infections, while low neutrophil counts can signal severe neutropenia, requiring urgent medical attention.

Short name

Granulocyte differential

Frequently asked questions

What does a granulocyte differential test measure?
This test measures the percentage breakdown of different granulocyte types (neutrophils, eosinophils, basophils) in your blood, helping identify imbalances that may indicate infections, allergies, or blood disorders.
Can fasting affect this test?
No, fasting is not required for this test since it involves a simple blood draw. However, certain medications or recent infections may influence results, so discuss your medical history with your doctor.
How long does it take to get results?
Results are typically available within 1–3 business days, depending on your lab. Your doctor will review them and discuss any findings with you during your follow-up visit.
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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