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Lymphocyte Count (Manual Blood Cell Differential)

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

This test measures the number of lymphocytes, a type of white blood cell that plays a key role in fighting infections and maintaining immune function.

Quick summary

["Lymphocytes help your body defend against illness and disease."]

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

Key facts at a glance

LOINC
78355-5
Short code
Lymph Abn Bld Ql Manual
Synonyms
Lymph Abn Bld Ql Manual
Category
chemistry
Sample
whole-blood
Container
Lavender-top (EDTA)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
manual-count
Specimen volume
3 mL
Stability
Room temperature: 4h, Refrigerated: 24h
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
4–24 hours
Order
routine

Why This Test Might Be Ordered

Your healthcare provider may order this test to evaluate your immune system, diagnose conditions like infections, autoimmune diseases, or certain cancers, or to monitor treatment progress. It can also help identify conditions affecting white blood cell counts, such as leukemia or lymphomas.

What to Expect Before the Test

No special preparation is typically needed. You may be asked to fast before the test if it involves drawing blood, but this is not always the case for a manual differential. Bring any medications or questions to your appointment.

How the Test Is Performed

A healthcare professional will take a small sample of blood from a vein in your arm using a needle. The blood is then examined under a microscope by a trained technician to count and identify different types of white blood cells, including lymphocytes.

What the Results Mean

Results are usually reported as a count of lymphocytes per microliter (µL) of blood. While specific reference ranges can vary by lab, lower than expected counts may suggest immune deficiencies or infections, while higher counts might indicate chronic inflammation, certain infections, or other conditions.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Lymphocyte counts are crucial for diagnosing and managing a variety of health conditions. Low lymphocyte counts can signal immune system dysfunction, which may be due to conditions like HIV/AIDS, chemotherapy, or autoimmune diseases. High lymphocyte counts can be seen in chronic infections, certain cancers, or inflammatory disorders. Monitoring lymphocyte counts helps guide treatment decisions and assess the effectiveness of therapies.

Short name

Lymphocyte Count

Frequently asked questions

What causes a low lymphocyte count?
Low lymphocyte counts can result from infections (such as HIV or viral infections), certain medications (like chemotherapy or steroids), autoimmune diseases, or conditions affecting bone marrow function. Lifestyle factors like poor nutrition or chronic stress may also play a role.
What causes a high lymphocyte count?
High lymphocyte counts can be linked to chronic infections (e.g., tuberculosis), certain cancers (like lymphoma), autoimmune diseases (e.g., rheumatoid arthritis), or reactions to medications. Stress, sleep deprivation, or certain viral infections may also temporarily increase lymphocyte levels.
How often should I get this test?
The frequency depends on your health condition and treatment plan. Your healthcare provider will determine how often you need this test based on your symptoms, diagnosis, and ongoing management of your health.
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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