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Conventionally, a leukocytosis exceeding 50,000 WBC/mm 3 with a significant increase in early neutrophil precursors is referred to as a leukemoid reaction. [2] The peripheral blood smear may show myelocytes, metamyelocytes, promyelocytes, and rarely myeloblasts; however, there is a mixture of early mature neutrophil precursors, in contrast to the immature forms typically seen in acute leukemia.
Neutrophilia (also called neutrophil leukocytosis or occasionally neutrocytosis) is leukocytosis of neutrophils, that is, a high number of neutrophils in the blood. [1] Because neutrophils are the main type of granulocytes , mentions of granulocytosis often overlap in meaning with neutrophilia.
Leukocytosis is a condition in which the white cell count is above the normal range in the blood. [ 1 ] [ 2 ] It is frequently a sign of an inflammatory response , [ 3 ] most commonly the result of infection , but may also occur following certain parasitic infections or bone tumors as well as leukemia .
Toxic vacuolation is associated with sepsis, particularly when accompanied by toxic granulation. [4] The finding is also associated with bacterial infection, [3] alcohol toxicity, liver failure, [4] and treatment with granulocyte colony-stimulating factor, a cytokine drug used to increase the absolute neutrophil count in patients with neutropenia.
Often, the word refers to an increased neutrophil granulocyte count (neutrophilia), but granulocytosis formally refers to the combination of neutrophilia, eosinophilia, and basophilia. [1] Leukocytosis refers to an increase in the number of all white blood cells. [citation needed]
Major types of leukocytosis and their mechanisms depend on the types of leukemia that cause them. White blood cell levels either rise in distinct white blood levels or in unison with others, a patient may have neutrophilia , lymphocytosis , monocytosis , eosinophilia , basophilia or a rise in immature blast cells .
Activity of neutrophil-killer and neutrophil-cager in NBT test [70] Two functionally unequal subpopulations of neutrophils were identified on the basis of different levels of their reactive oxygen metabolite generation, membrane permeability, activity of enzyme system, and ability to be inactivated.
The standard definition of a left shift is an absolute band form count greater than 7700/microL. [3] There are competing explanations for the origin of the phrase "left shift," including the left-most button arrangement of early cell sorting machines [4] [5] and a 1920s publication by Josef Arneth, containing a graph in which immature neutrophils, with fewer segments, shifted the median left. [6]