Bux J, Mueller-Eckhardt C
Institut für Klinische Immunologie und Transfusionsmedizin, Justus-Liebig-Universität Giessen.
Klin Padiatr. 1989 Nov-Dec;201(6):431-5. doi: 10.1055/s-2008-1026742.
Immune neutropenia in infancy comprises alloimmune neutropenia and autoimmune neutropenia. Both diseases are caused by granulocyte-specific antibodies. Patients are newborns and children, often being younger than three years. Neutropenia usually leads to recurrent mild bacterial infections. Beside the blood count and the bone-marrow smear demonstration of granulocyte-specific antibodies is typical. As neutropenia is self-limiting, most patients require only conservative management. In more severe cases interventions with high-doses of intravenous immunoglobulin or corticoid-therapy are indicated.
婴儿期免疫性中性粒细胞减少症包括同种免疫性中性粒细胞减少症和自身免疫性中性粒细胞减少症。这两种疾病均由粒细胞特异性抗体引起。患者为新生儿和儿童,通常年龄小于三岁。中性粒细胞减少症通常会导致反复的轻度细菌感染。除了血常规检查外,骨髓涂片显示粒细胞特异性抗体是其典型表现。由于中性粒细胞减少症具有自限性,大多数患者仅需保守治疗。在更严重的情况下,需要进行大剂量静脉注射免疫球蛋白或皮质激素治疗。