Regents Biology 2015/2016
Mohamed M.Elsaied
2016/2017
[ Neutrophilia ]
 Introduction
Mohamed M.Elsaied
2016/2017
 White blood cell
 One of the cells the body makes to help fight infections .
There are several types of white blood cells
I. Granulocytes
1- Neutrophils
2-Eosinophils
3-Basophils
II. Non granular
4 -Monocytes
5-Lymphocytes
Mohamed M.Elsaied
2016/2017
 Definition of Neutrophilia
Mohamed M.Elsaied
2016/2017
 Neutrophilia is a medical condition that involves the increase of
neutrophil in the blood or serum.
 This is considered as the most common form of leukocytosis
The neutrophils are responsible in killing or assistance of
fighting off the foreign materials found in the body such as
(bacteria and fungi).
 Its precursors > 7,000/cmm
 Neutrophilia Causes
Mohamed M.Elsaied
2016/2017
The causes of neutrophilia are the following:-
1. Acute infection
2. Inflammation
3. Hemorrhage
4. Sepsis
5. Cigarette smoking
6. Stress
7. Metabolic processes
8. Drugs
9. Malignancy
10. labor
Mohamed M.Elsaied
2016/2017
 Causes of Neutrophilia (cont.)
1. Chronic granulocytic leukaemia
2. Other myeloproliferative disorders
Diagnosis :-
1. Low LAP score .
2. Philadelphia chromosome .
 Neutrophilia Symptoms
Mohamed M.Elsaied
2016/2017
I. Bleeding leading to hypotension, tachycardia and most probably
sepsis.
II. Hypothermia or decreased body temperature.
III. Tachypnea and dyspnea would most likely happen. These are
respiratory-related symptoms.
IV. Rashes
V. Wound that doesn’t heal quickely
VI. Abscesses
 Neutrophilia count
Mohamed M.Elsaied
2016/2017
Neutrophilia is defined as an increase in circulating neutrophils
in the peripheral blood.
 The absolute neutrophil count (ANC) defines neutrophilia. ANC
is found by multiplying the percentage of bands and neutrophils
on a differential by the total white blood cell count. An abnormal
ANC is more than 8,000 cells per cubic mm.
Mohamed M.Elsaied
2016/2017
I. Referral to a hematologist
II. Bone marrow aspiration. This shall identify presence of
hematological problem. Bone marrow depression may be
present that is why testing the sample from the bone marrow
aspiration is necessary.
III. Close supervision of the blood results are indeed necessary
in order to check progress of the condition. This is needed to
be monitored so that success of the treatment course can be
attained.
 Tips and remedies for neutrophilia
Mohamed M.Elsaied
2016/2017
IV. Discuss with the doctor the need of taking drugs that could
cause neutrophilia. Asking for alternative medications from
such should be helpful in preventing the disease process.
V. Maintain a healthy lifestyle so that one can avoid acquiring
acute infections that are highly causative of neutrophilia.
Having yearly influenza shots can also avoid acquiring viral
infections. Reduce or slowly stop bad habits that can alter
one’s natural defenses of the body is a preventive measure for
neutrophilia.
 Reference
Mohamed M.Elsaied
2016/2017
1. Nagase H, Miyamasu M, Yamaguchi M, et al. Cytokine-mediated regulation of
CXCR4 expression in human neutrophils. J Leukoc Biol 2002; 71:711.
2. Dinarello CA, Mier JW. Lymphokines. N Engl J Med 1987; 317:940.
3. Clark SC, Kamen R. The human hematopoietic colony-stimulating factors. Science
1987; 236:1229.
4. ZUELZER WW. "MYELOKATHEXIS"--A NEW FORM OF CHRONIC
GRANULOCYTOPENIA. REPORT OF A CASE. N Engl J Med 1964; 270:699.
5. KRILL CE Jr, SMITH HD, MAUER AM. CHRONIC IDIOPATHIC GRANULOCYTOPENIA. N
Engl J Med 1964; 270:973.
6. Hord JD, Whitlock JA, Gay JC, Lukens JN. Clinical features of myelokathexis and
treatment with hematopoietic cytokines: a case report of two patients and review
of the literature. J Pediatr Hematol Oncol 1997; 19:443.

Neutrophilia

  • 1.
    Regents Biology 2015/2016 MohamedM.Elsaied 2016/2017 [ Neutrophilia ]
  • 2.
     Introduction Mohamed M.Elsaied 2016/2017 White blood cell  One of the cells the body makes to help fight infections . There are several types of white blood cells I. Granulocytes 1- Neutrophils 2-Eosinophils 3-Basophils II. Non granular 4 -Monocytes 5-Lymphocytes
  • 3.
  • 4.
     Definition ofNeutrophilia Mohamed M.Elsaied 2016/2017  Neutrophilia is a medical condition that involves the increase of neutrophil in the blood or serum.  This is considered as the most common form of leukocytosis The neutrophils are responsible in killing or assistance of fighting off the foreign materials found in the body such as (bacteria and fungi).  Its precursors > 7,000/cmm
  • 5.
     Neutrophilia Causes MohamedM.Elsaied 2016/2017 The causes of neutrophilia are the following:- 1. Acute infection 2. Inflammation 3. Hemorrhage 4. Sepsis 5. Cigarette smoking 6. Stress 7. Metabolic processes 8. Drugs 9. Malignancy 10. labor
  • 6.
    Mohamed M.Elsaied 2016/2017  Causesof Neutrophilia (cont.) 1. Chronic granulocytic leukaemia 2. Other myeloproliferative disorders Diagnosis :- 1. Low LAP score . 2. Philadelphia chromosome .
  • 7.
     Neutrophilia Symptoms MohamedM.Elsaied 2016/2017 I. Bleeding leading to hypotension, tachycardia and most probably sepsis. II. Hypothermia or decreased body temperature. III. Tachypnea and dyspnea would most likely happen. These are respiratory-related symptoms. IV. Rashes V. Wound that doesn’t heal quickely VI. Abscesses
  • 8.
     Neutrophilia count MohamedM.Elsaied 2016/2017 Neutrophilia is defined as an increase in circulating neutrophils in the peripheral blood.  The absolute neutrophil count (ANC) defines neutrophilia. ANC is found by multiplying the percentage of bands and neutrophils on a differential by the total white blood cell count. An abnormal ANC is more than 8,000 cells per cubic mm.
  • 9.
    Mohamed M.Elsaied 2016/2017 I. Referralto a hematologist II. Bone marrow aspiration. This shall identify presence of hematological problem. Bone marrow depression may be present that is why testing the sample from the bone marrow aspiration is necessary. III. Close supervision of the blood results are indeed necessary in order to check progress of the condition. This is needed to be monitored so that success of the treatment course can be attained.  Tips and remedies for neutrophilia
  • 10.
    Mohamed M.Elsaied 2016/2017 IV. Discusswith the doctor the need of taking drugs that could cause neutrophilia. Asking for alternative medications from such should be helpful in preventing the disease process. V. Maintain a healthy lifestyle so that one can avoid acquiring acute infections that are highly causative of neutrophilia. Having yearly influenza shots can also avoid acquiring viral infections. Reduce or slowly stop bad habits that can alter one’s natural defenses of the body is a preventive measure for neutrophilia.
  • 11.
     Reference Mohamed M.Elsaied 2016/2017 1.Nagase H, Miyamasu M, Yamaguchi M, et al. Cytokine-mediated regulation of CXCR4 expression in human neutrophils. J Leukoc Biol 2002; 71:711. 2. Dinarello CA, Mier JW. Lymphokines. N Engl J Med 1987; 317:940. 3. Clark SC, Kamen R. The human hematopoietic colony-stimulating factors. Science 1987; 236:1229. 4. ZUELZER WW. "MYELOKATHEXIS"--A NEW FORM OF CHRONIC GRANULOCYTOPENIA. REPORT OF A CASE. N Engl J Med 1964; 270:699. 5. KRILL CE Jr, SMITH HD, MAUER AM. CHRONIC IDIOPATHIC GRANULOCYTOPENIA. N Engl J Med 1964; 270:973. 6. Hord JD, Whitlock JA, Gay JC, Lukens JN. Clinical features of myelokathexis and treatment with hematopoietic cytokines: a case report of two patients and review of the literature. J Pediatr Hematol Oncol 1997; 19:443.