What causes leukopenia?

Written by Tang Zhuo
Endocrinology
Updated on September 01, 2024
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When the white blood cell count in the surrounding blood continuously remains below 4.0*10^9/L, we call this condition leukopenia. Typical symptoms of leukopenia include dizziness, fatigue, limb soreness, reduced appetite, and listlessness, although some patients may not exhibit any obvious clinical symptoms. The causes of leukopenia are very complex and can be classified into two main categories: primary and secondary. Primary leukopenia refers to cases where the cause is unknown, while secondary leukopenia refers to cases potentially caused by acute infections or physical and chemical factors, or diseases of the hematopoietic system, connective tissue diseases, allergic diseases, or genetic diseases, all of which may lead to a reduction in white blood cells.

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Written by Zhang Jun Jun
Endocrinology
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How to treat leukopenia?

The treatment plan for leukopenia primarily depends on the cause of the decreased white blood cells. If the cause is related to blood cancer, further examinations like bone marrow biopsy are needed, followed by treatment of the primary disease. The second most common scenario is liver cirrhosis, which can lead to a decrease in all three blood cell lines, causing reduction in white blood cells, platelets, and hemoglobin. In such cases, treatment options may include splenectomy or the use of oral medications that increase white blood cell count. However, these treatments only address the symptoms and not the root cause, which is liver cirrhosis, thus the primary disease still requires treatment. The third scenario involves severe bacterial and viral infections, where a decrease in white blood cells indicates a serious condition, necessitating further antiviral or anti-infection treatments. (Please follow the guidance of a professional physician for medication use, and do not self-medicate.)

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Written by Zhang Jun Jun
Endocrinology
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What are the symptoms of leukopenia?

The most common cause of leukopenia is viral infections, along with some severe bacterial infections. Common symptoms of viral and bacterial infections include dizziness, headache, nausea, vomiting, chills, fever, cough, expectoration, abdominal pain, diarrhea, urgent urination, and frequent urination. Generally, further examinations can be conducted through blood draws and routine tests of blood, urine, and stool cultures. If there is an accompanying hematological disease, such as thrombocytopenia, symptoms can include general weakness, body aches, and bone pain; further bone marrow examinations should be conducted.

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Written by Liu Lei
Endocrinology
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What causes leukopenia?

Leukopenia mainly has the following three causes: 1) Drugs; 2) Infections; 3) Diseases that cause disturbances in white blood cell production. Drugs primarily include antibiotics such as sulfonamide antibiotics and penicillin; anti-tuberculosis drugs like rifampicin and isoniazid; anti-thyroid drugs such as methimazole and propylthiouracil; antipyretic analgesics like aminopyrine, indomethacin, and ibuprofen; and antihistamines such as diphenhydramine. Additionally, most chemotherapy drugs can cause a decrease in white blood cells. Viral infections can lead to a decrease in white blood cells or severe bacterial infections, such as sepsis and septicemia, along with some chronic infections. Diseases that cause disturbances in the production of white blood cells mainly refer to certain hematological diseases, such as aplastic anemia or malignant tumors that invade the bone marrow and affect hematopoiesis. Furthermore, there are some less common causes of leukopenia, such as familial inheritance and granulocyte distribution disorders.

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Written by Zhang Jun Jun
Endocrinology
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Leukopenia and thrombocytopenia are what diseases

Diseases caused by decreased white blood cells and platelets are often related to our hematological system, since both white blood cells and platelets are produced by our hematopoietic factors. When there is a decrease in both white blood cells and platelets, we generally consider that there might be an issue with our hematopoietic system. The most common conditions could be diseases related to the hematological system, such as leukemia, or aplastic anemia. These conditions can cause a decrease in the mentioned indices. Another disease is cirrhosis, especially in patients in the compensatory stage, which can lead to hyperfunctioning of the spleen. The spleen is also an immune organ, as well as a part of our hematopoietic system, so when the spleen is hyperactive, it can also result in decreased white blood cells and platelets.

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Written by Tang Zhuo
Endocrinology
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What are the causes of leukopenia?

When the white blood cell count in peripheral blood is below 4.0 times 10 to the ninth power per liter, it is termed leukopenia. According to the cause, it can be divided into the following three aspects: First, disturbance in the production of white blood cells, including reduced proliferation of stem cells or regeneration disorders. Second, excessive destruction of white blood cells, such as from infections or immunological factors, leading to increased destruction of white blood cells. Third, abnormal distribution of white blood cells, due to various reasons, causes an increase in white blood cells in the marginal pool and a decrease in the circulating pool, which can also lead to leukopenia.