{"id":2547,"date":"2009-03-03T10:54:37","date_gmt":"2009-03-03T10:54:37","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/hemneutropenia\/"},"modified":"2025-05-14T19:11:24","modified_gmt":"2025-05-14T19:11:24","slug":"hemneutropenia","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/hemneutropenia\/","title":{"rendered":"Classification of Neutropenia"},"content":{"rendered":"<div class=\"99c380e4b4a7b96c35d7ddf7dcb434e8\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p><\/p>\n<div class=\"Section1\">\n<p class=\"MsoNormal\">Acquired neutropenia<\/p>\n<ul style=\"margin-top: 0cm;\">\n<li style=\"list-style-type: none;\">\n<ul style=\"margin-top: 0cm;\">\n<li class=\"MsoNormal\">Postinfectious: varicella, measles, rubella, hepatitis A and B, mononucleosis, influenza, cytomegalovirus, parvovirus, acquired immunodeficiency syndrome (AIDS), S. aureus, brucellosis, tularemia, rickettsia, Mycobacterium tuberculosis, sepsis.<\/li>\n<li class=\"MsoNormal\">Drug induced: Antineoplastic agents, procainamide, antithyroid drugs, sulphasalazine, phenothiazines, semisynthetic penicillins, nonsteroidal anti-inflammatory agents, aminopyrine derivatives, benzodiazepines, barbiturates, gold compounds, sulfonamides, propranolol, dipyridamole, digoxin, acetyldigoxin, sulfamethoxizole, anticonvulsants<\/li>\n<li class=\"MsoNormal\">Benign familial neutropenia<\/li>\n<li class=\"MsoNormal\">Chronic benign neutropenia of childhood<\/li>\n<li class=\"MsoNormal\">Chronic idiopathic neutropenia<\/li>\n<li class=\"MsoNormal\">Autoimmune neutropenia<\/li>\n<li class=\"MsoNormal\">Isoimmune neutropenia<\/li>\n<li class=\"MsoNormal\">Neutropenia associated with immunologic abnormalities<\/li>\n<li class=\"MsoNormal\">Neutropenia associated with metabolic diseases<\/li>\n<li class=\"MsoNormal\">Neutropenia due to increased margination<\/li>\n<li>Nutritional deficiency<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><!--more--><\/p>\n<p class=\"MsoNormal\">Intrinsic defects<\/p>\n<\/div>\n<div class=\"Section1\">\n<ul style=\"margin-top: 0cm;\">\n<li class=\"MsoNormal\">Kostmann syndrome (severe infantile agranulocytosis)<\/li>\n<li class=\"MsoNormal\">Myelokathexis\/neutropenia with tetraploid nuclei<\/li>\n<li class=\"MsoNormal\">Cyclic neutropenia<\/li>\n<li class=\"MsoNormal\">Shwachman-Diamond-Oski syndrome<\/li>\n<li class=\"MsoNormal\">Chediak-Higashi syndrome<\/li>\n<li class=\"MsoNormal\">Reticular dysgenesis<\/li>\n<li class=\"MsoNormal\">Dyskeratosis congenital<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p class=\"MsoNormal\"><strong>Clinically Significant Neutrophil Counts<\/strong><\/p>\n<table style=\"border-collapse: collapse; width: 100%;\" border=\"1\">\n<tbody>\n<tr>\n<td style=\"border: 1pt solid windowtext; padding: 0cm 5.4pt; width: 80.6pt;\" valign=\"top\" width=\"107\">\n<p class=\"MsoNormal\"><strong>ANC<\/strong><\/p>\n<\/td>\n<td style=\"padding: 0cm 5.4pt; width: 213.6pt; border: 1pt 1pt 1pt medium solid solid solid none windowtext windowtext windowtext -moz-use-text-color;\" valign=\"top\" width=\"285\">\n<p class=\"MsoNormal\"><strong>Clinical Significance<\/strong><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 0cm 5.4pt; width: 80.6pt; border: medium 1pt 1pt none solid solid -moz-use-text-color windowtext windowtext;\" valign=\"top\" width=\"107\">\n<p class=\"MsoNormal\">&gt;1,500\/mm<sup>3<\/sup><\/p>\n<\/td>\n<td style=\"padding: 0cm 5.4pt; width: 213.6pt; border: medium 1pt 1pt medium none solid solid none -moz-use-text-color windowtext windowtext -moz-use-text-color;\" valign=\"top\" width=\"285\">\n<p class=\"MsoNormal\">Normal<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 0cm 5.4pt; width: 80.6pt; border: medium 1pt 1pt none solid solid -moz-use-text-color windowtext windowtext;\" valign=\"top\" width=\"107\">\n<p class=\"MsoNormal\">1,000-1,500<\/p>\n<\/td>\n<td style=\"padding: 0cm 5.4pt; width: 213.6pt; border: medium 1pt 1pt medium none solid solid none -moz-use-text-color windowtext windowtext -moz-use-text-color;\" valign=\"top\" width=\"285\">\n<p class=\"MsoNormal\">No significant propensity to infection. Fevers can be managed on an outpatient basis.<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 0cm 5.4pt; width: 80.6pt; border: medium 1pt 1pt none solid solid -moz-use-text-color windowtext windowtext;\" valign=\"top\" width=\"107\">\n<p class=\"MsoNormal\">500-1,000<\/p>\n<\/td>\n<td style=\"padding: 0cm 5.4pt; width: 213.6pt; border: medium 1pt 1pt medium none solid solid none -moz-use-text-color windowtext windowtext -moz-use-text-color;\" valign=\"top\" width=\"285\">\n<p class=\"MsoNormal\">Some propensity to infection. Occasionally, fever can be managed on an outpatient basis.<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 0cm 5.4pt; width: 80.6pt; border: medium 1pt 1pt none solid solid -moz-use-text-color windowtext windowtext;\" valign=\"top\" width=\"107\">\n<p class=\"MsoNormal\">&lt;500<\/p>\n<\/td>\n<td style=\"padding: 0cm 5.4pt; width: 213.6pt; border: medium 1pt 1pt medium none solid solid none -moz-use-text-color windowtext windowtext -moz-use-text-color;\" valign=\"top\" width=\"285\">\n<p class=\"MsoNormal\">Significant propensity to infection. Always should be managed as inpatient with parenteral antibiotics. Few clinical signs of infection.<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p class=\"MsoNormal\">ANC; Absolute Neutrophil Counts<\/p>\n<p class=\"MsoNormal\">These rules apply strictly for neutropenia with hypoplastic marrow, early myeloid arrest, and decreased granulocyte reserve pools. There is more latitude for clinical judgment in neutropenias with normocellular marrow. The only regular exception to these rules is documented chronic benign neutropenia of childhood.<\/p>\n<\/div>\n<p>&nbsp;<\/p>\n<p><strong>References:<\/strong><\/p>\n<ol>\n<li>Kyono W, Coates TD. A practical approach to neutrophil disorders. Pediatr Clin North Am. 2002 Oct;49(5):929-71, viii. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/12430620\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Created: Oct 23, 2005<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Sorry, this entry is only available in Espa\u00f1ol.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[171],"tags":[166,167,1381,1672],"class_list":["post-2547","post","type-post","status-publish","format-standard","hentry","category-hematology","tag-clasificacion","tag-classification","tag-hematology","tag-neutropenia"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2547","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/comments?post=2547"}],"version-history":[{"count":3,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2547\/revisions"}],"predecessor-version":[{"id":9118,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2547\/revisions\/9118"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/media?parent=2547"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/categories?post=2547"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/tags?post=2547"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}