Page 156 - Clinical Hematology Atlas
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140    SECTION FOUR  LEUKOCYTES

                                           TOXIC GRANULATION

















                   A                                          B
                  FIGURE 14–5A  Toxic granulation.     FIGURE 14–5B  Toxic granulation and Döhle body
                                                       (arrow). Cytoplasm may retain blue color due to
                                                       cell’s early release from bone marrow.

                                                       DESCRIPTION:  Prominent dark purple-black
                                                         granules
                                                       LOCATION:  Cytoplasm of neutrophils, unevenly
                                                         distributed
                                                       COMPOSITION:  Primary granules
                                                       NUMBER:  Few to many
                                                       Associated with:  Wide range of conditions
                                                         including bacterial infection, sepsis and following
                                                         administration of granulocyte colony-stimulating
                                                         factor.


                   C
            FIGURE 14–5C  Normal segmented neutrophil for
            comparison.
   151   152   153   154   155   156   157   158   159   160   161