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CHAPTER 18  ■  Disorders of Granulocytes and Monocytes                                   337




                                                                                                                                             ,                                  m
                                                Leukocytic Increases or Decreases
                       TABLE         18.1                                                                                                       m                                 m              . T           -
                                                and Examples of Related Disorders
                                                                                                                                                                                    m       m        ,

                       Neutrophilia                   Neutrophilia                                                                                          BGP                           .

                                                      In  ammatory conditions                                                       W                                  m                             ,

                                                      Infection                                                                                                             k                                    . A “

                                                      Physical stimuli (e.g., heat or cold)                                          ”     “                      ”                    z

                                                      Surgery                                                                     m       mm                                                               . S

                                                      Burns                                                                                                                           m                              -

                                                      Stress                                                                                                 x                                          j

                                                      Some drugs and hormones                                                                                  m         . H           ,

                                                      Some types of leukemia                                                                                          z                     x   m                       .


                       Eosinophilia                   Active allergic disorders (e.g., asthma                                       N

                                                      and hay fever)                                                                                                 “reactive neutrophilia.” C

                                                      Dermatoses                                                                  m                                                            m

                                                      Nonparasitic infections                                                                                 . I

                                                      Some forms of leukemia                                                   WBC                                  ×     /L                                 m

                                                      Parasitic infections (nonprotozoan)                                          mm                          ,                               k  m   -  k
                                                                                                                                    k  m                   . A      k  m                                          -
                       Basophilia                     Ulcerative colitis


                                                      Hyperlipidemia                                                                      m              m                        k  m
                                                      Smallpox and chickenpox                                                                      ,                                              m               ,       -


                                                      Chronic sinusitis                                                        k              k                               (LAP)         ,          m
                                                      Chronic myelogenous (myelocytic)                                                    .


                                                      leukemia                                                                      A
                                                      Polycythemia vera                                                                                                                                 k                    -
                                                                                                                                                 . L    k
                       Monocytosis                    Infections (e.g., tuberculosis and bacte-                                                               m                          m

                                                      rial endocarditis)                                                                               m                                    /             .

                                                      Fever of unknown origin

                                                      In  ammatory bowel disease                                               Neutrophilia Workup

                                                      Rheumatoid arthritis

                                                      Hematological disorders (e.g., hemolytic                                 A                       k

                                                      anemia)                                                                     m                                                      x  m           . A
                                                                                                                                   m                                           m          .  T
                       Neutropenia                    Bone marrow injury or in  ltration                                          m     m      C          ’            m                                       -

                                                      Starvation                                                                          m                         m            m                       k

                                                      Anorexia nervosa                                                                                                                 m                           .

                                                      Cyclic neutropenia                                                            I

                                                      Increased destruction or utilization                                            mm        ,           x                                                m     -

                                                      Entrapment in the spleen
                                                                                                                                   . A     m                           (CBC)                         k

                       Eosinopenia                    Glucocorticosteroid hormones                                                                                            m                    (ESR) (

                                                      Acute bacterial or viral in  ammation                                    C               )                                    . O                             -

                       Basopenia                      Hormones (e.g., corticotropin and                                             ,                         m           x  m            m

                                                      progesterone)                                                                                        m   m                  .

                                                      During ovulation

                                                      Thyrotoxicosis                                                           Eosinophilia


                       Monocytopenia                  No known conditions                                                      P                                                               m                     -


                                                                                                                                               m          q                                                               -
                                                                                                                                       ,                      m                            .  O

                   ■    N    m                       m                                                                                                                m         ,                                     ,

                   ■    N          m                  m                      m                                                    m       m           k  m   ,                                     . P
                        m
                                                                                                                                                                                              m                 m
                        A                                              m                                                               m    m               . V         z


                                     m       m           k  m                 m                    -                                             . C          -L
                            ,                    mm                                           ,                                         ,   x          ,         m,


                                                                                        .  D                                                            mm        .
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