Benign ethnic neutropenia: What is a normal absolute neutrophil count?
Approximately 25% to 50% of persons of African descent and some ethnic groups in the Middle East have benign ethnic neutropenia, with low leukocyte and neutrophil counts. It is important to recognize the existence of this condition, the most common form of neutropenia throughout the world, and thus...
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| Published in | The Journal of laboratory and clinical medicine Vol. 133; no. 1; pp. 15 - 22 |
|---|---|
| Main Authors | , , |
| Format | Journal Article |
| Language | English |
| Published |
Saint Louis, MO
Mosby, Inc
01.01.1999
Elsevier Elsevier Science Ltd |
| Subjects | |
| Online Access | Get full text |
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| Abstract | Approximately 25% to 50% of persons of African descent and some ethnic groups in the Middle East have benign ethnic neutropenia, with low leukocyte and neutrophil counts. It is important to recognize the existence of this condition, the most common form of neutropenia throughout the world, and thus avoid both under- and overevaluation. Although there is no scientific basis for an absolute neutrophil count of 1.5 × 109/L to be considered minimal, counts below this level are empirically regarded as inadequate in persons of all ethnic groups who are above the age of 1 year.1-4 Many individuals, however, maintain consistently low absolute neutrophil counts without evidence of increased susceptibility to infection or any other adverse effect. The important determination is not how many neutrophils are present in the peripheral blood, but whether the bone marrow is able to produce enough normally functioning cells when needed.5-9 A description of benign ethnic neutropenia, as set forth in this review, suggests that the lower limit now considered acceptable for the absolute neutrophil count should be readjusted downward for all ethnic groups. (J Lab Clin Med 1999;133:15-22) |
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| AbstractList | Approximately 25% to 50% of persons of African descent and some ethnic groups in the Middle East have benign ethnic neutropenia, with low leukocyte and neutrophil counts. It is important to recognize the existence of this condition, the most common form of neutropenia throughout the world, and thus avoid both under-and overevaluation. Although there is no scientific basis for an absolute neutrophil count of 1.5x10(9)/L to be considered minimal, counts below this level are empirically regarded as inadequate in persons of all ethnic groups who are above the age of 1 year. Many individuals, however, maintain consistently low absolute neutrophil counts without evidence of increased susceptibility to infection or any other adverse effect. The important determination is not how many neutrophils are present in the peripheral blood, but whether the bone marrow is able to produce enough normally functioning cells when needed. A description of benign ethnic neutropenia, as set forth in this review, suggests that the lower limit now considered acceptable for the absolute neutrophil count should be readjusted downward for all ethnic groups.Approximately 25% to 50% of persons of African descent and some ethnic groups in the Middle East have benign ethnic neutropenia, with low leukocyte and neutrophil counts. It is important to recognize the existence of this condition, the most common form of neutropenia throughout the world, and thus avoid both under-and overevaluation. Although there is no scientific basis for an absolute neutrophil count of 1.5x10(9)/L to be considered minimal, counts below this level are empirically regarded as inadequate in persons of all ethnic groups who are above the age of 1 year. Many individuals, however, maintain consistently low absolute neutrophil counts without evidence of increased susceptibility to infection or any other adverse effect. The important determination is not how many neutrophils are present in the peripheral blood, but whether the bone marrow is able to produce enough normally functioning cells when needed. A description of benign ethnic neutropenia, as set forth in this review, suggests that the lower limit now considered acceptable for the absolute neutrophil count should be readjusted downward for all ethnic groups. Approximately 25% to 50% of persons of African descent and some ethnic groups in the Middle East have benign ethnic neutropenia, with low leukocyte and neutrophil counts. It is important to recognize the existence of this condition, the most common form of neutropenia throughout the world, and thus avoid both under- and overevaluation. Although there is no scientific basis for an absolute neutrophil count of 1.5 × 109/L to be considered minimal, counts below this level are empirically regarded as inadequate in persons of all ethnic groups who are above the age of 1 year.1-4 Many individuals, however, maintain consistently low absolute neutrophil counts without evidence of increased susceptibility to infection or any other adverse effect. The important determination is not how many neutrophils are present in the peripheral blood, but whether the bone marrow is able to produce enough normally functioning cells when needed.5-9 A description of benign ethnic neutropenia, as set forth in this review, suggests that the lower limit now considered acceptable for the absolute neutrophil count should be readjusted downward for all ethnic groups. (J Lab Clin Med 1999;133:15-22) Approximately 25% to 50% of persons of African descent and some ethnic groups in the Middle East have benign ethnic neutropenia, with low leukocyte and neutrophil counts. It is important to recognize the existence of this condition, the most common form of neutropenia throughout the world, and thus avoid both under-and overevaluation. Although there is no scientific basis for an absolute neutrophil count of 1.5x10(9)/L to be considered minimal, counts below this level are empirically regarded as inadequate in persons of all ethnic groups who are above the age of 1 year. Many individuals, however, maintain consistently low absolute neutrophil counts without evidence of increased susceptibility to infection or any other adverse effect. The important determination is not how many neutrophils are present in the peripheral blood, but whether the bone marrow is able to produce enough normally functioning cells when needed. A description of benign ethnic neutropenia, as set forth in this review, suggests that the lower limit now considered acceptable for the absolute neutrophil count should be readjusted downward for all ethnic groups. |
| Author | Haddy, Theresa B. Castro, Oswaldo Rana, Sohail R. |
| Author_xml | – sequence: 1 givenname: Theresa B. surname: Haddy fullname: Haddy, Theresa B. – sequence: 2 givenname: Sohail R. surname: Rana fullname: Rana, Sohail R. – sequence: 3 givenname: Oswaldo surname: Castro fullname: Castro, Oswaldo |
| BackLink | http://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1634878$$DView record in Pascal Francis https://www.ncbi.nlm.nih.gov/pubmed/10385477$$D View this record in MEDLINE/PubMed |
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| Keywords | WBC ANC Human Ethnic origin Leukopenia Granulocyte Race Negroid Hemopathy Neutrophil Differential diagnostic African Neutropenia Absolute value |
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| PublicationPlace | Saint Louis, MO |
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| PublicationTitle | The Journal of laboratory and clinical medicine |
| PublicationTitleAlternate | J Lab Clin Med |
| PublicationYear | 1999 |
| Publisher | Mosby, Inc Elsevier Elsevier Science Ltd |
| Publisher_xml | – name: Mosby, Inc – name: Elsevier – name: Elsevier Science Ltd |
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| SubjectTerms | Adult Africa - epidemiology Biological and medical sciences Ethnic Groups Hematologic and hematopoietic diseases Humans Infant Leukocyte Count Medical sciences Middle East - epidemiology Neutropenia - blood Neutropenia - ethnology Neutropenia - genetics Neutrophils - pathology Other diseases. Hematologic involvement in other diseases Reference Values |
| Title | Benign ethnic neutropenia: What is a normal absolute neutrophil count? |
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