Leukopenia is a condition.

Written by Tang Zhuo
Endocrinology
Updated on September 14, 2024
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Leukopenia is defined as a condition in which the white blood cell count in peripheral blood persistently remains below 4 times 10 to the ninth power per liter.

Since the components of white blood cells are mainly neutrophils and lymphocytes, particularly dominated by neutrophils, leukopenia is mostly caused by a decrease in neutrophils. The causes of leukopenia can be categorized into primary and secondary types. Primary leukopenia refers to cases where the cause is unknown, while secondary leukopenia could be due to acute infections, physical or chemical factors, or certain diseases such as hematologic disorders, connective tissue diseases, allergic diseases, or genetic disorders. In addition, there are also some acquired or idiopathic cases of granulocytopenia that fall under the category of leukopenia. Typical symptoms of leukopenia include dizziness, fatigue, muscle weakness, reduced appetite, and mental sluggishness.

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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.

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Written by Lin Xiang Dong
Endocrinology
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What medicine is used for leukopenia?

Leukopenia refers to a condition where the absolute count of white blood cells in peripheral blood persistently falls below 4.0×10^9/L, commonly known as leukopenia. There are many causes of leukopenia, which can generally be divided into two categories: defects in white blood cell production, and excessive destruction or consumption. Common causes include certain chemicals, radiation, cytotoxic drugs, some hematological diseases such as aplastic anemia and myelodysplastic syndrome, as well as Vitamin B12 deficiency, and drugs used to treat hyperthyroidism. Additionally, viral infections can lead to excessive white blood cell consumption and result in leukopenia. Therefore, when leukopenia occurs, it is crucial to actively search for the underlying causes and treat the primary condition. Meanwhile, if the patient's white blood cell count is significantly reduced, drugs that increase white blood cells may be temporarily administered to elevate the patient's white blood cell count.

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Written by Li Lang Bo
Endocrinology
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Is leukopenia severe?

The normal value of white blood cells in the human body is 4 to 10×10^9/L. White blood cells mainly consist of neutrophils and lymphocytes, along with some other types of eosinophilic and basophilic granulocytes. If the total white blood cell count decreases, generally falling below 4 to 10×10^9/L, it is referred to as leukopenia. Among these, neutrophils are the most related to the body's immune response. If neutrophils decrease to less than 1.5×10^9/L, it is defined as neutropenia, which is very serious. If neutropenia occurs, the resistance to infections is greatly lowered, making the body highly susceptible to various infections. Active treatment to increase white blood cells is necessary; otherwise, any infection may lead to severe conditions like septicemia and septic shock, which can even be life-threatening.

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Written by Zhang Jun Jun
Endocrinology
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Is leukopenia very harmful?

Leukopenia primarily depends on the extent of the decrease in white blood cells, which can be classified into mild, moderate, and severe levels. Mild leukopenia generally means less than 4.0 X 10⁹/L, and if granulocytes are decreased, it typically means an absolute value of granulocytes less than 2.0 X 10⁹/L. A lack of granulocytes indicates a more severe condition, usually less than 0.5 X 10⁹/L. For patients with mild leukopenia, special preventive measures are generally not necessary. However, for moderate and severe leukopenia, the greatest risk is an increased chance of infection, as white blood cells are a marker of our ability to defend against external threats. With fewer of these defensive guards, the probability of resisting infections and the chance of acquiring infections significantly increase. Therefore, for patients with moderate leukopenia, their rate of infection increases, and it is important to take precautions, reduce visits to public places, maintain hygiene, and eliminate chronic infectious foci. For patients with severe leukopenia, aseptic isolation measures should be adopted. For patients who have infections, it is crucial to find sensitive antibiotics, preferably broad-spectrum antibiotics. If there is a concurrent fungal or viral infection, antifungal or antiviral medications should also be used, as the decrease in white blood cells can destroy a person's immune capacity, lowering immunity and increasing the chance of infections and the invasion of pathogenic bacteria, which in severe cases could even lead to sepsis or septic shock.

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Written by Zhang Jun Jun
Endocrinology
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Is leukopenia leukemia?

Leukopenia is not necessarily indicative of leukemia. There are many causes for a decrease in white blood cells, some of which can be due to medications. Currently, many drugs can cause a reduction in white blood cells, and in such cases, stopping the drug will typically allow the white blood cells to return to normal. A second scenario, especially in patients with an enlarged spleen or those suffering from cirrhosis, can also lead to a decrease in white blood cells. In these cases, it is mainly the abnormal function of the spleen that causes the reduction in white cells. Additionally, there are blood-related diseases, which might be leukemia or other types of blood disorders. In these situations, not only is there a reduction in white blood cells, but there is also a decrease in hemoglobin and platelets. Moreover, a significant increase in white blood cells is also a manifestation of leukemia, thus a decrease in white cells is not definitively indicative of leukemia.