6 - Leucocyte disorders Flashcards
Myeloid lineage
Platelets, Basophil, Eosinophil, Neutrophil, Monocytes (dendritic cell and macrophage)
Lymphoid lineage
Lymphocytes (T and B cell), NK cell
What is the earliest committed myeloid cell
Myeloblast
Where does granulopoiesis occur
Bone marrow
Neutrophils
- 40-75% of WBC
- Develop from primitive myeloblast in bone marrow
What does number of neutrophils in blood vary by
- Age, gender, ethnicity
- Ethnic neutropenia: africans
Migration of neutrophils
Migrate from bone marrow to blood through sinusoidal endothelium
Eosinophils
Release granule contents onto pathogens (parasites) to facilitate their destruction
Monocytes
- Mature to macrophage in tissue
- Produce and release cytokineses
- Role in phagocytosis
Lymphocytes
- Immunologically competent cells
- Produced to bone marrow and thymus
- Round cells with mature chromatin
‘-cytosis’ suffix
Increased numbers
‘-philia’ suffix
Increased numbers
‘-penia’ suffix
Reduced numbers
Benign (reactive) white cell disorders
- Neutrophilia and neutropenia
- Lymphocytosis
- Monocytosis
- Eosinophilia
Malignant white cell disorders
- Leukaemias: acute and chronic
- Multiple myeloma
- Lymphoma
- Myeloproliferative neoplasms
Neutrophilia (neutrophil leucocytosis)
- Increase in neutrophil numbers
- Caused by infection, fever, inflammation, steroid therapy, neoplasms
- Accompanied by ‘left shift’ (neutrophil precursors in blood) and ‘toxic granulation’ (increased granules)
Neutropenia
- Decreased neutrophil numbers
- Risk of severe and recurrent bacterial infection
Causes of neutropenia
- Congenital (rare)
- Benign ethnic neutropenia
- Drug-induced (Antibiotics, cytotoxics)
- Infections
- Bone marrow failure (pancytopenia)
Lymphocytosis
- Increase in lymphocyte count
- commonly secondary to viral infections (whooping cough, mono, covid
- Altered lymphocyte morphology (Increase cell size, abundant cytoplasm
Monocytosis
- Increased level of monocytes
- Uncommon
- caused by chronic infections (Tuberculosis, Malaria)
Eosinophilia
- Allergic conditions (asthma, eczema, hay fever)
- Parasitic infections
- Drug reactions
Basophilia
Very rare, chronic myeloid leukaemia