Document Detail


Acquired Pelger-Huët: what does it really mean?
MedLine Citation:
PMID:  20691170     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Pelger-Huët anomaly (PHA) is a benign inherited condition characterized by hyposegmentation of the neutrophil's nucleus and excessive chromatin clumping. An acquired neutrophil dysplasia similar to PHA has been described in hematological diseases and in some clinical conditions. It has been known as acquired or pseudo PHA. Although some hypotheses have been proposed to explain this phenomenon, the mechanism of nuclear change is still unclear. Only the laboratory and clinical data combined will yield a better understanding on the need for follow-up and management of patients in the appropriate cases. In addition, a possible cause of pseudo PHA must always be investigated to add insights to the full understanding of this abnormality. Whether this neutrophil phenomenon has clinical implications remains to be elucidated. It is clear that only a small number of patients under drugs (immunosuppressive and others) may present these neutrophil abnormalities. Most of them do not show this phenomenon and we are unable to explain the different responses in drug users. Whether these patients display a predisposition for developing bone marrow or other diseases in the future, it is a very intriguing matter and only a follow-up will solve this question.
Authors:
Luci Maria Santana Dusse; Andréia Maria Braz Moreira; Lauro Mello Vieira; Danyelle Romana Alves Rios; Rívia Mara Morais e Silva; Maria das Graças Carvalho
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review     Date:  2010-08-05
Journal Detail:
Title:  Clinica chimica acta; international journal of clinical chemistry     Volume:  411     ISSN:  1873-3492     ISO Abbreviation:  Clin. Chim. Acta     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-09-13     Completed Date:  2011-01-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  1302422     Medline TA:  Clin Chim Acta     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  1587-90     Citation Subset:  IM    
Copyright Information:
2010 Elsevier B.V. All rights reserved.
Affiliation:
Clinical and Toxicological Department, Faculty of Pharmacy, Federal University of Minas Gerais, Brazil. lucim@farmacia.ufmg.br
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MeSH Terms
Descriptor/Qualifier:
Diagnosis, Differential
Hematologic Diseases / pathology*
Humans
Neutrophils / pathology*
Pelger-Huet Anomaly / pathology*

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