Department of Medical Oncology/Hematology, National Centre for Cancer Care and Research (NCCCR), Hamad Medical Corporation (HMC), Doha, Qatar.
Division of Endocrinology, Department of Pediatrics, Hamad General Hospital (HGH), Hamad Medical Corporation (HMC), Doha, Qatar.
Medicine (Baltimore). 2022 Sep 9;101(36):e30431. doi: 10.1097/MD.0000000000030431.
Neutropenia ranges from a normal variant to life-threatening acquired and congenital disorders. This study aims at providing baseline information regarding the prevalence and spectrum of neutropenia in the Arab blood donors who are living in Qatar. This retrospective cohort study was conducted to review the data of healthy Arab individuals (≥18 years) who donated blood between January 1, 2015 to May 15, 2019. A complete blood count was performed using automated analyzers. The prevalence of neutropenia was 10.7%. The prevalence in females was 32% and in males, it was 6%. Absolute neutrophil count (ANC) below 1 × 109/L was detected in 10% of Arab females and 1.8 % of Arab males. In females, the neutropenic group had significantly lower hemoglobin (Hb) levels and higher red cell distribution width, and lower total white blood cells and lymphocyte counts (P < .001) compared to the group with ANC > 1.5 × 109/L. Significant correlations were found between the ANC and Hb (r = 0.33, P < .05) and ANC and total white blood cells (r = 0.45, P < .01). The prevalence of neutropenia is considerably high in Arab adult females compared to other ethnic groups. Besides the genetic constitution of Arabs, the lower Hb and higher red cell distribution width in females suggest that iron deficiency could contribute to the development of neutropenia.
中性粒细胞减少症范围从正常变异到危及生命的获得性和先天性疾病。本研究旨在为居住在卡塔尔的阿拉伯献血者的中性粒细胞减少症的患病率和范围提供基线信息。这项回顾性队列研究对 2015 年 1 月 1 日至 2019 年 5 月 15 日期间献血的健康阿拉伯个体(≥18 岁)的数据进行了回顾。使用自动化分析仪进行全血细胞计数。中性粒细胞减少症的患病率为 10.7%。女性的患病率为 32%,男性为 6%。在 10%的阿拉伯女性和 1.8%的阿拉伯男性中发现绝对中性粒细胞计数(ANC)低于 1×10^9/L。与 ANC>1.5×10^9/L的组相比,中性粒细胞减少组的女性血红蛋白(Hb)水平明显较低,红细胞分布宽度较高,总白细胞和淋巴细胞计数较低(P<0.001)。ANC 与 Hb(r=0.33,P<0.05)和 ANC 与总白细胞(r=0.45,P<0.01)之间存在显著相关性。与其他种族群体相比,阿拉伯成年女性中性粒细胞减少症的患病率相当高。除了阿拉伯人的遗传构成外,女性较低的 Hb 和较高的红细胞分布宽度表明缺铁可能导致中性粒细胞减少症的发展。