Cold induced pseudoneutropenia in human immunodeficiency virus infection: first case report and review of related articles

Cold agglutination of erythrocyte or platelet aggregation in vitro due to cold agglutination are well recognized and extensively studied. Aggregation of leucocyte is a rare hematological phenomenon resulting in a spurious low leucocyte count performed using automated hematology analyzers. Aggregatio...

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Main Authors: Prashant Goyal, Dipti Agrawal, Jitender Kailash, Sompal Singh
Format: Article
Language:English
Published: PAGEPress Publications 2014-08-01
Series:Mediterranean Journal of Hematology and Infectious Diseases
Subjects:
Online Access:https://mjhid.org/index.php/mjhid/article/view/1869
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author Prashant Goyal
Dipti Agrawal
Jitender Kailash
Sompal Singh
author_facet Prashant Goyal
Dipti Agrawal
Jitender Kailash
Sompal Singh
author_sort Prashant Goyal
collection DOAJ
description Cold agglutination of erythrocyte or platelet aggregation in vitro due to cold agglutination are well recognized and extensively studied. Aggregation of leucocyte is a rare hematological phenomenon resulting in a spurious low leucocyte count performed using automated hematology analyzers. Aggregation of leucocyte may relate to malignancy, lymphoproliferative disorders, infection, liver diseases, or autoimmune disorders. It is believed that the mechanism of leucocyte aggregation is mainly related to the use of EDTA (ethylene diamine tetraacetic acid) anticoagulant or is temperature-mediated. Leucoagglutination is associated with either a spurious leucopenia or an underestimation of leucocytosis. This can adversely affect management decisions in terms of unnecessary management of leucopenia or ignoring a leucocytosis that may be indicator of an underlying serious disease. To our knowledge, we report here for the first time the occurrence of pseudoneutropenia due to temperature-mediated, EDTA-independent neutrophil agglutination in adult with human immunodeficiency virus (HIV) infection.
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spelling doaj-art-5fd6bd3237c845c69ec8b33a73318c202025-08-20T02:08:34ZengPAGEPress PublicationsMediterranean Journal of Hematology and Infectious Diseases2035-30062014-08-011Cold induced pseudoneutropenia in human immunodeficiency virus infection: first case report and review of related articlesPrashant Goyal0Dipti Agrawal1Jitender Kailash2Sompal Singh3Swami Dayanand Hospital, Dilshad Garden, Delhi, IndiaBatra Hospital and Medical Research Centre, Tughlakabad Institutional Area, New DelhiKailash ClinicSwami Dayanand Hospital, Dilshad Garden, DelhiCold agglutination of erythrocyte or platelet aggregation in vitro due to cold agglutination are well recognized and extensively studied. Aggregation of leucocyte is a rare hematological phenomenon resulting in a spurious low leucocyte count performed using automated hematology analyzers. Aggregation of leucocyte may relate to malignancy, lymphoproliferative disorders, infection, liver diseases, or autoimmune disorders. It is believed that the mechanism of leucocyte aggregation is mainly related to the use of EDTA (ethylene diamine tetraacetic acid) anticoagulant or is temperature-mediated. Leucoagglutination is associated with either a spurious leucopenia or an underestimation of leucocytosis. This can adversely affect management decisions in terms of unnecessary management of leucopenia or ignoring a leucocytosis that may be indicator of an underlying serious disease. To our knowledge, we report here for the first time the occurrence of pseudoneutropenia due to temperature-mediated, EDTA-independent neutrophil agglutination in adult with human immunodeficiency virus (HIV) infection.https://mjhid.org/index.php/mjhid/article/view/1869PseudoneutropeniaNeutrophil aggregationCold agglutinationHIVEDTA
spellingShingle Prashant Goyal
Dipti Agrawal
Jitender Kailash
Sompal Singh
Cold induced pseudoneutropenia in human immunodeficiency virus infection: first case report and review of related articles
Mediterranean Journal of Hematology and Infectious Diseases
Pseudoneutropenia
Neutrophil aggregation
Cold agglutination
HIV
EDTA
title Cold induced pseudoneutropenia in human immunodeficiency virus infection: first case report and review of related articles
title_full Cold induced pseudoneutropenia in human immunodeficiency virus infection: first case report and review of related articles
title_fullStr Cold induced pseudoneutropenia in human immunodeficiency virus infection: first case report and review of related articles
title_full_unstemmed Cold induced pseudoneutropenia in human immunodeficiency virus infection: first case report and review of related articles
title_short Cold induced pseudoneutropenia in human immunodeficiency virus infection: first case report and review of related articles
title_sort cold induced pseudoneutropenia in human immunodeficiency virus infection first case report and review of related articles
topic Pseudoneutropenia
Neutrophil aggregation
Cold agglutination
HIV
EDTA
url https://mjhid.org/index.php/mjhid/article/view/1869
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AT jitenderkailash coldinducedpseudoneutropeniainhumanimmunodeficiencyvirusinfectionfirstcasereportandreviewofrelatedarticles
AT sompalsingh coldinducedpseudoneutropeniainhumanimmunodeficiencyvirusinfectionfirstcasereportandreviewofrelatedarticles