Cyclic neutropenia
Cyclic neutropenia
Cyclic neutropenia
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Review Questions<br />
A 6 y/o boy presents with a hx of temp to 103 (39.4) and<br />
ulcerations on his lips and buccal mucosa 2 days ago. The child<br />
has some small, slightly ulcerated areas on his lips and is<br />
afebrile. Mom reports two simlar episodes in the past 2 months.<br />
He has a WBC count of 2.9; Hgb 11.4; Plt 349. Diff is 40%<br />
neutrophils, 49% lymphocytes, 9% monocytes and 2%<br />
eosinophils. Of the following, the best laboratory test to evaluate<br />
this child is:<br />
A. Antineutrophil Antibodies<br />
B. Blood Counts 2‐3x a week for 4‐6 wks<br />
C. Bone Marrow aspiration<br />
D. Herpes Cultures<br />
E. Repeat of the count in 1 week to see if it normalizes