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MUHAMMAD KAMIL KHAN
Pathological variation in WBC
Diagram of WBC
PATHOLOGICAL VARIATIONS
• Leukocytosis
1. Infections
2. Allergy
3. Common cold
4. Tuberculosis
5. Glandular fever.
• Leukemia
It is also called blood cancer. (1,000,000/cu mm.)
• Leukopenia
1. Anaphylactic shock
2. Cirrhosis of liver
3. Disorders of spleen
4. Pernicious anemia
5. Typhoid and paratyphoid
6. Viral infections.
Substance or chemical
secreted from the
granules of WBC
Disorder Variation Conditions
Neutrophilia
or
neutrophilic
leukocytosis
Increase in neutrophil count
1. Acute infections
2. Metabolic disorders
3. Injection of foreign proteins
4. Injection of vaccines
5. Poisoning by chemicals and drugs like
lead, mercury,
camphor, benzene derivatives, etc.
6. Poisoning by insect venom
7. After acute hemorrhage
Neutropenia Decrease in neutrophil count
1. Bone marrow disorders
2. Tuberculosis
3. Typhoid
4. Autoimmune diseases
Eosinophilia Increase in eosinophil count
1. Allergic conditions like asthma
2. Blood parasitism (malaria, filariasis)
3. Intestinal parasitism
4. Scarlet fever
Eosinopenia Decrease in eosinophil
count
1. Cushing’s syndrome
2. Bacterial infections
3. Stress
4. Prolonged administration of drugs
like steroids, ACTH and epinephrine
Basophilia Increase in basophil
count
1. Smallpox
2. Chickenpox
3. Polycythemia vera
Basopenia Decrease in basophil
count
1. Urticaria (skin disorder)
2. Stress
3. Prolonged exposure to chemotherapy
or radiation therapy
Monocytosis Increase in monocyte
count
1. Tuberculosis
2. Syphilis
3. Malaria
4. Kala-azar
Monocytopenia Decrease in monocyte count Prolonged use of prednisone
(immunosuppressant steroid)
Lymphocytosis Increase in lymphocyte count 1. Diphtheria
2. Infectious hepatitis
3. Mumps
4. Malnutrition
5. Rickets
6. Syphilis
7. Thyrotoxicosis
8. Tuberculosis
Lymphocytopenia Decrease in lymphocyte count 1. AIDS
2. Hodgkin’s disease (cancer of
lymphatic system)
3. Malnutrition
4. Radiation therapy
5. Steroid administration
•Substances secreted by
the granules of WBCs
And their action
Substances secreted by WBCs
WBC Substance secreted Action
Neutrophil
Proteases
Myeloperoxidases
Elastases
Metalloproteinases
Destruction of microorganisms
Defensins
Antimicrobial action
Anti-inflammatory action
Wound healing
Chemotaxis
Cathelicidins
NADPH oxidase
Platelet-activating factor
Antimicrobial action
Bactericidal action
Aggregation of platelets
WBC Substance secreted Action
Eosinophil
Eosinophil peroxidase
Major basic protein
Eosinophil cationic protein
Eosinophil-derived
neurotoxin
Interleukin-4 and 5
Destruction of worms, bacteria
and tumor cells
Destruction of worms
Destruction of worms
neurotoxic action
neurotoxic action
Acceleration of inflammatory
response
Destruction of invading organisms
WBC Substance secreted Action
Basophil
Heparin,
Histamine, Bradykinin,
Serotonin
Proteases, Myeloperoxidases
Interleukin-4
Prevention of intravascular blood
clotting
Production of acute
hypersensitivity reactions
Destruction of microorganisms
Acceleration of inflammatory
response
Destruction of invading organisms
WBC Substance secreted Action
Monocyte
Interleukin-1
Colony stimulation factor
Platelet-activating factor
Chemokines
Acceleration of inflammatory
response
Destruction of invading organisms
Formation of colony forming
blastocytes
Aggregation of platelets
Chemotaxis
WBC Substance secreted Action
T lymphocytes
Interleukin-2, 4 and 5
Gamma interferon
Lysosomal enzymes
Tumor necrosis factor
Chemokines
Acceleration of inflammatory response
Destruction of invading organisms
Activation of T cells
Stimulation of phagocytic actions of
cytotoxic cells, macrophages
and natural killer cells
Destruction of invading organisms
Necrosis of tumor
Activation of immune system
Promotion of inflammation
Chemotaxis
WBC Substance secreted Action
B lymphocytes
Immunoglobulins
Tumor necrosis factor
Chemokines
Destruction of invading organisms
Necrosis of tumor
Activation of immune system
Acceleration of inflammatory
response
Chemotaxis

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pathological variation in WBC

  • 3. PATHOLOGICAL VARIATIONS • Leukocytosis 1. Infections 2. Allergy 3. Common cold 4. Tuberculosis 5. Glandular fever. • Leukemia It is also called blood cancer. (1,000,000/cu mm.)
  • 4. • Leukopenia 1. Anaphylactic shock 2. Cirrhosis of liver 3. Disorders of spleen 4. Pernicious anemia 5. Typhoid and paratyphoid 6. Viral infections.
  • 5. Substance or chemical secreted from the granules of WBC
  • 6. Disorder Variation Conditions Neutrophilia or neutrophilic leukocytosis Increase in neutrophil count 1. Acute infections 2. Metabolic disorders 3. Injection of foreign proteins 4. Injection of vaccines 5. Poisoning by chemicals and drugs like lead, mercury, camphor, benzene derivatives, etc. 6. Poisoning by insect venom 7. After acute hemorrhage Neutropenia Decrease in neutrophil count 1. Bone marrow disorders 2. Tuberculosis 3. Typhoid 4. Autoimmune diseases Eosinophilia Increase in eosinophil count 1. Allergic conditions like asthma 2. Blood parasitism (malaria, filariasis) 3. Intestinal parasitism 4. Scarlet fever
  • 7. Eosinopenia Decrease in eosinophil count 1. Cushing’s syndrome 2. Bacterial infections 3. Stress 4. Prolonged administration of drugs like steroids, ACTH and epinephrine Basophilia Increase in basophil count 1. Smallpox 2. Chickenpox 3. Polycythemia vera Basopenia Decrease in basophil count 1. Urticaria (skin disorder) 2. Stress 3. Prolonged exposure to chemotherapy or radiation therapy Monocytosis Increase in monocyte count 1. Tuberculosis 2. Syphilis 3. Malaria 4. Kala-azar
  • 8. Monocytopenia Decrease in monocyte count Prolonged use of prednisone (immunosuppressant steroid) Lymphocytosis Increase in lymphocyte count 1. Diphtheria 2. Infectious hepatitis 3. Mumps 4. Malnutrition 5. Rickets 6. Syphilis 7. Thyrotoxicosis 8. Tuberculosis Lymphocytopenia Decrease in lymphocyte count 1. AIDS 2. Hodgkin’s disease (cancer of lymphatic system) 3. Malnutrition 4. Radiation therapy 5. Steroid administration
  • 9. •Substances secreted by the granules of WBCs And their action
  • 10. Substances secreted by WBCs WBC Substance secreted Action Neutrophil Proteases Myeloperoxidases Elastases Metalloproteinases Destruction of microorganisms Defensins Antimicrobial action Anti-inflammatory action Wound healing Chemotaxis Cathelicidins NADPH oxidase Platelet-activating factor Antimicrobial action Bactericidal action Aggregation of platelets
  • 11. WBC Substance secreted Action Eosinophil Eosinophil peroxidase Major basic protein Eosinophil cationic protein Eosinophil-derived neurotoxin Interleukin-4 and 5 Destruction of worms, bacteria and tumor cells Destruction of worms Destruction of worms neurotoxic action neurotoxic action Acceleration of inflammatory response Destruction of invading organisms
  • 12. WBC Substance secreted Action Basophil Heparin, Histamine, Bradykinin, Serotonin Proteases, Myeloperoxidases Interleukin-4 Prevention of intravascular blood clotting Production of acute hypersensitivity reactions Destruction of microorganisms Acceleration of inflammatory response Destruction of invading organisms
  • 13. WBC Substance secreted Action Monocyte Interleukin-1 Colony stimulation factor Platelet-activating factor Chemokines Acceleration of inflammatory response Destruction of invading organisms Formation of colony forming blastocytes Aggregation of platelets Chemotaxis
  • 14. WBC Substance secreted Action T lymphocytes Interleukin-2, 4 and 5 Gamma interferon Lysosomal enzymes Tumor necrosis factor Chemokines Acceleration of inflammatory response Destruction of invading organisms Activation of T cells Stimulation of phagocytic actions of cytotoxic cells, macrophages and natural killer cells Destruction of invading organisms Necrosis of tumor Activation of immune system Promotion of inflammation Chemotaxis
  • 15. WBC Substance secreted Action B lymphocytes Immunoglobulins Tumor necrosis factor Chemokines Destruction of invading organisms Necrosis of tumor Activation of immune system Acceleration of inflammatory response Chemotaxis