Q: My question is that my white blood count is down to 3.9 should I be concerned?
A: Up to 20% of Primary Sjogrens patients have a low white blood count. 3.9 is not very low. The white blood count may fluctuate as well. Good news is that this is generally not associated with increased infections in Sjogrens patients. There may be rare exceptions that need further investigation but if you are Not having frequent infections, then you have No reason for concern. Some patients will feel more comfortable if the see a Hematology doctor to rule out other reasons than Sjogrens for the low white blood count.