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Am J Perinatol 2003; 20(7): 347-352
DOI: 10.1055/s-2003-45288
DOI: 10.1055/s-2003-45288
Severe Neutrophilia in an Infant with Persistent Pulmonary Hypertension of the Newborn
Further Information
Publication History
Publication Date:
04 December 2003 (online)
ABSTRACT
We report the case of a term male infant with severe persistent pulmonary hypertension of the newborn, who developed massive neutrophilia of unknown etiology. An extensive evaluation failed to disclose an obvious cause for his neutrophilia. A bone marrow aspirate was performed and was consistent with a leukemoid reaction. This paper reviews the neonatal leukemoid reaction and its significance.
KEYWORDS
Newborn - leukemoid reaction - persistent pulmonary hypertension - neutrophilia
REFERENCES
- 1 Krukenbhaar E B. Leukemoid blood pictures in various clinical conditions. Am J Med Sci . 1926; 172 519-533
- 2 Hilts S V, Shaw C C. Leukemoid blood reactions. N Engl J Med . 1953; 249 434-438
- 3 Weinberger M M, Oleinick A. Congenital marrow dysfunction in Down syndrome. J Pediatr . 1970; 77 273-279
- 4 Seibel N L, Sommer A, Miser J. Transient neonatal leukemoid reactions in mosaic trisomy 21. J Pediatr . 1984; 104 251-254
- 5 Anday E K, Harris M C. Leukemoid reaction associated with antenatal dexamethasone administration. J Pediatr . 1982; 101 614-616
- 6 Calhoun D A, Kirk J F, Christensen R D. Incidence, significance and kinetic mechanism responsible for leukemoid reactions in patients in the neonatal intensive care unit: a prospective evaluation. J Pediatr . 1996; 129 403-409
- 7 Mouzinho A, Rosenfeld C R, Sanchez P J, Risser R. Revised reference ranges for circulating neutrophils in very-low-birth-weight neonates. Pediatrics . 1994; 94 76-82
- 8 Rastogi S, Rastogi R, Sundaram R. et al . Leukemoid reaction in extremely low-birth-weight infants. Am J Perinatol . 1999; 16 93-97
- 9 Zanardo V, Magaotto M, Rosolen A. Neonatal leukemoid reaction and early development of bronchopulmonary dysplasia in a very low-birth-weight infant. Fetal Diagn Ther . 2001; 16 150-152
- 10 Manroe B L, Weinberg A G, Rosenfeld C R, Browne R. The neonatal blood count in health and disease. I: reference values for neutrophilic cells. J Pediatr . 1979; 95 89-98
- 11 Curnutte J T. Disorders of granulocyte function and granulopoiesis. In: Nathan DG, Oski FA, eds. Hematology of Infancy and Childhood Philadelphia: WB Saunders 1993: 904-977
- 12 Geffner J R, Trevani A S, de D'Elia I. et al . Involvement of nitric oxide in the regulation of peripheral blood leukocyte counts. J Leuk Biol . 1995; 58 391-394
- 13 Lefer A M. Nitric oxide: nature's naturally occurring leukocyte inhibitor. Circulation . 1997; 95 553-554
- 14 Altenburg S P, Martins M A, Silva A R. et al . LPS-induced blood neutrophilia is inhibited by alpha 1-adrenoreceptor antagonists: a role for catecholamines. J Leuk Biol . 1997; 61 689-694
- 15 Bishop C R, Athens J W, Boggs D R. et al . Leukokinetic studies. XIII: a non-steady state kinetic evaluation of the mechanism of cortisone induced granulocytosis. J Clin Invest . 1968; 47 249-60
- 16 Baehner R, Miller D R. Disorders of granulopoiesis. In: Miller DR, Bachner RL, McMillan CW, Miller LP, eds. Blood Diseases of Infancy and Childhood St. Louis: CV Mosby 1995: 505-506
- 17 Schibler K. Leukocyte development and disorders during the neonatal period. In: Christensen RD, ed. Hematologic Problems of the Neonate Philadelphia: WB Saunders 2000: 332-333