White Blood Cell Abnormalities
Finding | Possible causes |
---|---|
Neutrophilia | Metastatic cancer Corticosteroid therapy Trauma, surgery, burn Myeloproliferative disorders |
(see Chapter102) | Myelosuppressive chemotherapeutic agents Idiosyncratic reaction to drug (e.g. carbimazole) Infections (e.g. viral, severe bacterial, HIV) B12 and folate deficiency Systemic lupus erythematosus Felty syndrome Haematological disorders (e.g. leukaemia) Ethnic neutropenia (Afro-Caribbean origin is often associated with neutrophilis as low as 0.8×109/L |
Lymphocytosis | Infections (e.g. infectious mononucleosis) Lymphoproliferative disorders (e.g. chronic lymphocytic leukaemia, lymphoma) |
Lymphopenia | Infections (e.g. viral, HIV, severe bacterial) Immunosuppressive therapy Systemic lupus erythematosus Alcohol excess Chronic renal failure Lymphoma |
Monocytosis | Infections Myeloproliferative disorders (e.g. chronic myelomonocytic leukaemia) Metastatic cancer |
Eosinophilia | Drug allergy Parasitic infestation Haematological disorders (e.g. lymphoma, leukaemia, hypereosinophilic syndrome) Churg-Strauss vasculitis Disorders with eosinophilic involvement of specific organs Adrenal insufficiency (see Chapter 90) Atheroembolism |