Neutropenia

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Introduction[edit | edit source]

Neutropenia is a low level of neutrophils in the blood[1]. Neutrophils are a type of white blood cell, that support the immune system to fight injection by ingesting and killing invading microorganisms[2]. Neutropenia is defined as less than 1500 neutrophils per micro-litre of blood. It can be classed as mild (1000-1500 neutrophils per micro-litre), moderate ([[1]] neutrophils per micro-litre) or severe (less than 500 neutrophils per micro-litre)[3]. Neutropenia leads to an increased risk of infection and this risk is directly correlated with how long a patient has been neutropenic and how severe the neutropenia is.   [3].

Aetiology[edit | edit source]

Neutropenia can develop due to a wide range of one or more causes[4].

Neutropenia can be caused by[5]:

  • Congenital neutropenia
  • Infection
  • Drug induced
  • Autoimmune response
  • Malignancy
  • Dietary deficiencies


Clinical Presentation[edit | edit source]

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Diagnostic Procedures[edit | edit source]

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Outcome Measures[edit | edit source]

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Management / Interventions
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Differential Diagnosis
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Resources
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References[edit | edit source]

  1. Copeland et al. Assessment of Neutropenia. BMJ. 2021
  2. Justiz Vaillant AA, Zito PM. Neutropenia. 2021 Nov 15. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan–. PMID: 29939524.
  3. 3.0 3.1 Schwartzberg LS. Neutropenia: etiology and pathogenesis. Clin Cornerstone. 2006;8 Suppl 5:S5-11. doi: 10.1016/s1098-3597(06)80053-0. PMID: 17379162.
  4. Frater JL. How I investigate neutropenia. Int J Lab Hematol. 2020 Jun;42 Suppl 1:121-132. doi: 10.1111/ijlh.13210. PMID: 32543073
  5. Christopher Gibson, Nancy Berliner; How we evaluate and treat neutropenia in adults. Blood 2014; 124 (8): 1251–1258. doi: https://doi.org/10.1182/blood-2014-02-482612