ASSESSMENT OF CONGENITAL NEUTROPENIA IN CHILDREN: COMMON CLINICAL SCENERIES AND CLUES FOR MANAGEMENT

A disparate group of rare hematological diseases characterized by impaired maturation of neutrophil granulocytes defines congenital neutropenias. Neutropenic patients are prone to recurrent infections beginning in the first months of life. Of interest is “cyclic neutropenia”, an ultra-rare disorder...

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Main Authors: Ilaria Lazzareschi, Elena Rossi, Antonietta Curatola, Giovanna Capozio, Luca Benacquista, Ludovica Iezzi, Donato Rigante
Format: Article
Language:English
Published: PAGEPress Publications 2022-01-01
Series:Mediterranean Journal of Hematology and Infectious Diseases
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Online Access:https://mjhid.org/index.php/mjhid/article/view/4781
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author Ilaria Lazzareschi
Elena Rossi
Antonietta Curatola
Giovanna Capozio
Luca Benacquista
Ludovica Iezzi
Donato Rigante
author_facet Ilaria Lazzareschi
Elena Rossi
Antonietta Curatola
Giovanna Capozio
Luca Benacquista
Ludovica Iezzi
Donato Rigante
author_sort Ilaria Lazzareschi
collection DOAJ
description A disparate group of rare hematological diseases characterized by impaired maturation of neutrophil granulocytes defines congenital neutropenias. Neutropenic patients are prone to recurrent infections beginning in the first months of life. Of interest is “cyclic neutropenia”, an ultra-rare disorder revealed by sinusoidal variations of the neutrophil count and periodically-recurring infections every 21 days. Diagnosis of these disorders is frequently obscured by the multiple causes of recurrent fevers in children. Aim of this overview is to outline the physical assessment of children presenting with early-onset symptomatic neutropenia, identify the disease between the many medical conditions and even emergencies which should enter in differential diagnosis, hint at the potential management with granulocyte-colony stimulating factor, define the risk of evolution to hematologic malignancy, and summarize inter-professional team strategies for improving care coordination and outcomes of such patients.
format Article
id doaj-art-c15558cc49a640c7a126143e3d2a0f23
institution Kabale University
issn 2035-3006
language English
publishDate 2022-01-01
publisher PAGEPress Publications
record_format Article
series Mediterranean Journal of Hematology and Infectious Diseases
spelling doaj-art-c15558cc49a640c7a126143e3d2a0f232025-01-02T00:23:27ZengPAGEPress PublicationsMediterranean Journal of Hematology and Infectious Diseases2035-30062022-01-0114110.4084/MJHID.2022.008ASSESSMENT OF CONGENITAL NEUTROPENIA IN CHILDREN: COMMON CLINICAL SCENERIES AND CLUES FOR MANAGEMENTIlaria Lazzareschi0Elena Rossi1Antonietta Curatola2Giovanna Capozio3Luca Benacquista4Ludovica Iezzi5Donato Rigante6Department of Life Sciences and Global Health, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy. Università Cattolica Sacro Cuore, Rome, ItalyDiagnostic Imaging, Oncological Radiotherapy and Hematology Department, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy. Università Cattolica Sacro Cuore, Rome, ItalyDepartment of Life Sciences and Global Health, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy. Department of Life Sciences and Global Health, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy. Department of Life Sciences and Global Health, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy. Department of Life Sciences and Global Health, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy. Department of Life Sciences and Global Health, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy. Università Cattolica Sacro Cuore, Rome, Italy. A disparate group of rare hematological diseases characterized by impaired maturation of neutrophil granulocytes defines congenital neutropenias. Neutropenic patients are prone to recurrent infections beginning in the first months of life. Of interest is “cyclic neutropenia”, an ultra-rare disorder revealed by sinusoidal variations of the neutrophil count and periodically-recurring infections every 21 days. Diagnosis of these disorders is frequently obscured by the multiple causes of recurrent fevers in children. Aim of this overview is to outline the physical assessment of children presenting with early-onset symptomatic neutropenia, identify the disease between the many medical conditions and even emergencies which should enter in differential diagnosis, hint at the potential management with granulocyte-colony stimulating factor, define the risk of evolution to hematologic malignancy, and summarize inter-professional team strategies for improving care coordination and outcomes of such patients.https://mjhid.org/index.php/mjhid/article/view/4781Congenital neutropeniacyclic neutropeniamyelopoiesisneutrophil elastaseperiodic feverautoinflammation
spellingShingle Ilaria Lazzareschi
Elena Rossi
Antonietta Curatola
Giovanna Capozio
Luca Benacquista
Ludovica Iezzi
Donato Rigante
ASSESSMENT OF CONGENITAL NEUTROPENIA IN CHILDREN: COMMON CLINICAL SCENERIES AND CLUES FOR MANAGEMENT
Mediterranean Journal of Hematology and Infectious Diseases
Congenital neutropenia
cyclic neutropenia
myelopoiesis
neutrophil elastase
periodic fever
autoinflammation
title ASSESSMENT OF CONGENITAL NEUTROPENIA IN CHILDREN: COMMON CLINICAL SCENERIES AND CLUES FOR MANAGEMENT
title_full ASSESSMENT OF CONGENITAL NEUTROPENIA IN CHILDREN: COMMON CLINICAL SCENERIES AND CLUES FOR MANAGEMENT
title_fullStr ASSESSMENT OF CONGENITAL NEUTROPENIA IN CHILDREN: COMMON CLINICAL SCENERIES AND CLUES FOR MANAGEMENT
title_full_unstemmed ASSESSMENT OF CONGENITAL NEUTROPENIA IN CHILDREN: COMMON CLINICAL SCENERIES AND CLUES FOR MANAGEMENT
title_short ASSESSMENT OF CONGENITAL NEUTROPENIA IN CHILDREN: COMMON CLINICAL SCENERIES AND CLUES FOR MANAGEMENT
title_sort assessment of congenital neutropenia in children common clinical sceneries and clues for management
topic Congenital neutropenia
cyclic neutropenia
myelopoiesis
neutrophil elastase
periodic fever
autoinflammation
url https://mjhid.org/index.php/mjhid/article/view/4781
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