GRAN# (Absolute Granulocyte Count)

Optimal Result: 1.5 - 6.5 x10E3/µL.

GRAN# (Absolute Granulocyte Count) – What It Means in Lab Results

GRAN# (Absolute Granulocyte Count) measures the total number of granulocytes (a type of white blood cell) per microliter (uL) of blood. Granulocytes play a critical role in the immune system, helping the body fight infections and inflammation.


What Are Granulocytes?

Granulocytes are a type of white blood cell (WBC) that contain granules filled with enzymes to destroy pathogens. They include:

  • Neutrophils (Most Abundant) – Primary defenders against bacterial and fungal infections.
  • Eosinophils – Active in allergic reactions and parasitic infections.
  • Basophils (Least Abundant) – Involved in allergic responses and inflammation.

Since neutrophils make up the majority of granulocytes, GRAN# is often closely related to the Absolute Neutrophil Count (ANC).


Normal Range for GRAN#

The typical GRAN# reference range is:

  • 1.5 – 8.5 × 10x9/L (or 1,500 – 8,500 cells/uL)
    Values may slightly vary depending on laboratory standards.

Why Is GRAN# Important?

  • High GRAN# suggests an active infection, inflammation, or blood disorder.
  • Low GRAN# may indicate a weakened immune system, making the body more vulnerable to infections.

Final Thoughts

GRAN# is a key marker in assessing immune system function. If your results are outside the normal range, further evaluation may be needed to determine the underlying cause. Consulting a healthcare provider is recommended for a complete interpretation of your blood test results.

What does it mean if your GRAN# (Absolute Granulocyte Count) result is too high?

Elevated GRAN# (Granulocytosis) – What It Indicates

An elevated GRAN# (Absolute Granulocyte Count) means an increase in granulocytes (neutrophils, eosinophils, and basophils) in the blood. This condition is known as granulocytosis and typically signals an active immune response to infections, inflammation, or other medical conditions.


Possible Causes of High GRAN#

1. Infections (Most Common Cause)

  • Bacterial infections (e.g., pneumonia, urinary tract infections, strep throat)
  • Fungal infections (e.g., candidiasis, aspergillosis)
  • Parasitic infections (especially if eosinophils are elevated)

2. Inflammatory and Autoimmune Conditions

  • Rheumatoid arthritis
  • Inflammatory bowel disease (IBD) – Crohn’s disease, ulcerative colitis
  • Vasculitis (inflammation of blood vessels)

3. Stress and Physical Factors

  • Acute stress or physical exertion
  • Severe burns, trauma, or surgery

4. Blood Disorders and Bone Marrow Conditions

  • Chronic Myeloid Leukemia (CML)
  • Polycythemia vera
  • Myeloproliferative disorders (abnormal bone marrow function leading to excess WBC production)

5. Medications and Drug Reactions

  • Corticosteroids (e.g., prednisone, dexamethasone)
  • Lithium (used for bipolar disorder, can increase WBC production)
  • Colony-stimulating factors (used in chemotherapy patients to boost WBCs)

6. Allergies and Asthma (If Eosinophils Are Also High)

  • Severe allergic reactions
  • Asthma or chronic lung diseases
  • Eosinophilic disorders (e.g., eosinophilic esophagitis, eosinophilia-myalgia syndrome)

7. Cancer and Malignancies

  • Certain solid tumors (lung, gastrointestinal, or pancreatic cancer)
  • Leukemias and lymphomas

When to Be Concerned About High GRAN#?

  • If levels are persistently high without a known infection or stressor.
  • If associated with symptoms like fever, night sweats, weight loss, or unexplained fatigue, which may indicate a more serious condition.
  • If extremely high levels (>20,000 cells/µL) are detected, which could suggest a bone marrow disorder or leukemia.

Next Steps After High GRAN# Results

If your GRAN# is elevated, your doctor may order additional tests, such as:
Complete Blood Count (CBC) with Differential – To analyze neutrophil, eosinophil, and basophil levels.
Bone Marrow Biopsy – If a blood disorder or leukemia is suspected.
Infection Tests (Blood cultures, CRP, ESR) – To determine if an infection or inflammation is present.
Allergy or Autoimmune Panel – If eosinophils are high.


Final Thoughts

A high GRAN# result is often a sign of infection, inflammation, or an immune response, but in some cases, it may indicate a more serious condition like a bone marrow disorder. Always consult with a healthcare provider for proper evaluation and interpretation of your results.

Frequently asked questions

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