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Principles of Blood Collection and
                                              19                          Disorders of Lymphocytes


                  CHAPTER                                                    Processing



















                            KEY TERMS





               acquired im m unode  ciency                                             infectious m ononucleosis                                               lym phoproliferative

                   syndrom e                                                           leukopenia                                                              reactive lym phocytosis
               cytom egalovirus                                                        lym phocytopenia                                                        seronegativity

               Epstein-Barr virus                                                      lym phocytosis                                                          system ic lupus erythem atosus







                            LEARNING OUTCOMES







               Characteristics of lymphocytes                                                                                Describe the etiology, epidemiology, clinical signs and symptoms,


               ■    State the normal relative value reference range for lymphocytes in                                         and laboratory data for Bordetella pertussis (whopping cough).
                   an adult.                                                                                                 Describe the etiology, epidemiology, clinical signs and symptoms,


               ■    State the absolute number of lymphocytes using the total leukocyte                                         and laboratory data for reactive lymphocytosis.
                   count and the relative number of lymphocytes.                                                           Lymphocytopenia


               ■    Explain the difference between an absolute lymphocyte count and a                                           De  ne and explain the term lymphocytopenia.
                   relative lymphocyte count.                                                                              ■


               ■    Name several disorders of lymphocytes frequently encountered in                                          Explain the pathophysiology and laboratory features in transient
                   the hematology laboratory.                                                                                  lymphocytopenia and pathological lymphocytopenia and congenital
                                                                                                                               qualitative disorders of lymphocytes.

               Lymphocytosis                                                                                               Immune disorders associated w ith


               ■    Describe why lymphocytosis occurs in infants and children up to                                        lymphocytopenia

                   10 years of age.

               ■    Name at least three nonmalignant conditions associated with an                                         ■    Name major immune de  ciencies associated with T cells or B cells.

                   absolute lymphocytosis.                                                                                   Describe  the  pathophysiology  of  early-phase  and  late-phase

               ■    Name at least three malignant conditions associated with lymphocytosis.                                    acquired immunode  ciency syndrome (HIV/AIDS).
                                                                                                                             Assess the hematology laboratory patient data, including serologi-

               Disorders associated w ith lymphocytosis                                                                        cal markers in HIV/AIDS.


               ■    Describe the etiology, epidemiology, clinical signs and symptoms,                                        Describe the etiology, epidemiology, clinical signs and symptoms,

                   and laboratory data for infectious mononucleosis.                                                           and laboratory   ndings of systemic lupus erythematosus.

               ■    Describe and recognize the appearance of lymphocytes associated                                        Case studies

                   with infectious mononucleosis.

                 Correlate the heterophil antibody test to a diagnosis of infectious                                         Analyze the patient history, clinical signs and symptoms, and labo-

                   mononucleosis.                                                                                              ratory data for the stated case studies, answer the related critical

                 Assess and correlate traditional antibody titers found in infectious                                          thinking questions, and conclude the most likely diagnosis.

                   mononucleosis with EBV viral antigens.

                 Describe the etiology, epidemiology, clinical signs and symptoms,                                            NOTE:

                   and laboratory data for cytomegalovirus.                                                                   ■   indicates MLT and MLS core content

                 Describe the etiology, epidemiology, clinical signs and symptoms,                                              indicates MLT (optional) and MLS advanced content

                   and laboratory data for toxoplasmosis.











               CHARAC  ERIS  ICS OF LYMPHOCY  ES                                                                                                                .         .   ×     /L. A
                                                                                                                               m                                           lymphocytopenia. W


               T        m                                             m                                                                m                                                                   m
                       %           %.  T                                        m                                                                   ,                                               lymphocytosis.







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