title: [Prolonged leucopenia in asymptomatic children].
abstract: BACKGROUND
  The term leucopenia is still a challenge for clinicists in cases of unknown reasons. There are two main groups of leucopenia: 1. Severe, chronic leucopenia (cyclic, inborn, and idiopathic); 2. Acquired or secondary (reasons: some drugs, infections, viral mainly, autoimmune diseases, haematological abnormalities, neoplasms, hiperspleenism and metabolic diseases). The aim of this investigation was an analysis of asymptomatic, lasting over three months leucopenia myelograms of childhood.
  
  
  METHODS
  21 children (6 girls and 15 boys, aged 10-17 years, mean 13.6, median 12 years) were analysed. The children were referred to our clinic by family physicians to investigate the reason of asymptomatic, lasting over three months leucopenia. These children are still under our observation from one till four years. Despite the fact of lasting over three months leucopenia, the general condition of the patients is good. In all the patients the myelogram analysis was performed after May-Grumwald-Giemsa dying, three slides of one hundred cells were counted. Statistical analysis was made using STATISTICA (Stat Soft Polska) programme.
  
  
  RESULTS
  Mean number of leucocytes was 3.06x109/ l (median 2.75x109/l, values from 2.46x109/l to 3.53x109/l), mean number of neutrocytes was 1.15x109/l (median 1.07 x 109/l, values from 0.62x109/l to 1470x109/l). Hemoglobin concentration and platelets number were normal. Mean number of marrow cells were within references. However mean number of myelocytes, metamyelocytes, bands and eosynophils were lower than mean number of general population marrow cells (p<0.05). Mean values of myeloblasts, neutrophils, and monocytes were statistically higher than in general population (p<0.05).
  
  
  CONCLUSIONS
  1. Hypothesis of obtained differencess in numer of marrow cells would need to be investigated in broad population of patients. 2. Considering that three children presented with positive familial leucopenia history (in one of them grandmother, in two anothers fathers) genetic predisposition can be expected.
authors: Klinika Pediatrii, Hematologii i Onkologii Gdańskiego Uniwersytetu Medycznego, ul. Dębinki 7, 80-952 Gdańsk, Poland, tel. (+48 58) 349-28-60, e-mail: bakaczor@gumed.edu.pl.
authors: Barbara
authors: B
authors: Kaczorowska-Hać
authors: Lucyna
authors: L
authors: Maciejka-Kapuścińska
authors: Iwona
authors: I
authors: Reszczyńska
authors: Jakub
authors: J
authors: Wiśniewski
authors: Lech
authors: L
authors: Buchowiecki
authors: Marta
authors: M
authors: Kozłowska
authors: Elżbieta
authors: E
authors: Adamkiewicz-Drożyńska
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005192:Family Health; D005260:Female; D020022:Genetic Predisposition to Disease; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007958:Leukocyte Count; D007962:Leukocytes; D007970:Leukopenia / Q000097:blood* / Q000175:diagnosis* / Q000235:genetics; D008297:Male; D010976:Platelet Count; D012307:Risk Factors