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356            PART 5  ■  Nonmalignant Leukocyte Disorders







                    TABLE        19.2        Causes of Lymphocytosis





                   Lymphocytosis Associated w ith Atypical Lymphocytes


                   % of White Cells That Are Atypical Lymphocytes



                                                                                                                                                               Lymphocytosis Associated w ith
                   >20%                                                             <20%                                                                       Small Mature Lymphocytes



                   Infectious mononucleosis                                         Mumps,* varicella,* rubeola, rubella, atypical  Reactive lymphocytosis

                   Infectious hepatitis                                             pneumonia, herpes simplex, herpes zoster,                                  Pertussis

                   Posttransfusion syndrome                                         roseola infantum, in  uenza,* other viral ill-

                   CMV infection                                                    nesses, tuberculosis,* rickettsialpox, brucel-

                   pn-Aminosalicylic acid (PAS)                                     losis,* toxoplasmosis,* radiation


                   Phenytoin (Dilantin) and mephenytoin

                   (Mesantoin) hypersensitivity


                                                                                    Agranulocytosis


                                                                                    Lead intoxication

                                                                                    Stress


                                                                                    Leukemias and lymphomas*


                   *Higher counts of atypical lymphocytes are occasionally found.








                    M                                                       m                                              Epidem iology



                .  L  m                    k  m    (                                  m )                                  A             EBV                              m            m

                .  T         k  m                     m      m                                                                                                                                     ,

                .  W              m’  m                      m                                                                                                        m

                .  C                                                                                                                                             . U                                     ,       -
                                                                                                                           m             EBV                                                            x    -

                                                                                                                                           k    .

                                                                                                                                T         q                 seronegativity                       %
               DISORDERS ASSOCIA  ED WI  H                                                                                                                                                 , m

               LYMPHOCY  OSIS                                                                                                                                     m                    ,                      %



               Infectious Mononucleosis                                                                                                            . A          m        x          ,                            -
                                                                                                                                          mm

               I               m                                                  ,            ,                                                    . I   W                    ,     m         x

                    -  m        lymphoproliferative                                  Epstein-                              EBV                               . A       x m                                 -

               Barr virus (EBV). EBV                               B   k   ’     m      m  ,                                           x                                                                   ;

                 m                m                 m                                   m                                                                                                                        (

                    A                       ;                                          m  ;                -                                ). A       x m           %                               m    -

                    m                 m   ,                      ,                                   x.                                                               .

                                                                                                                                I                        k                                   k
               Etiology                                                                                                                 . EBV               m                 m       mm          m-


               EBV                                                                                                                              ,                             m        m  j               m

               m                    . EBV                      m          . I          m                                    mm                          m     m                    .  I     mm           -

                          %                   ’                         x                           ,                                             ,                            EBV                               m

               m  k               m          q                  k        .                                                   %         %.  B                               m         mm

                    EBV           m                DNA        . I                   m      -                                               mm                        m                             m               -

                           ,                        B    m              ,                                                                                      k                                m

                  m                                                                                                                                        m  . I               m                                 -

               m                   x  m                                                            -                                 m                    –  k                                                    -

                                    .  O                                                                                          m                                                 m        CMV

                      m                                                           B   m                                                      EBV.

                           m                          m                                                                         A                                                  x                   m     m-

                              x (F   .     .  ).                                                                                                   . R
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