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Neutrophil inclusion bodies

MedGen UID:
867189
Concept ID:
C4021547
Finding
HPO: HP:0008264

Definition

The presence of intracellular inclusion bodies (aggregates of stainable substances, usually proteins) in neutrophils. Cytoplasmic neutrophil inclusions (oval, basophilic) are also known as Doehle bodies. [from HPO]

Conditions with this feature

Macrothrombocytopenia and granulocyte inclusions with or without nephritis or sensorineural hearing loss
MedGen UID:
1704278
Concept ID:
C5200934
Disease or Syndrome
MYH9-related disease (MYH9-RD) is characterized in all affected individuals by hematologic features present from birth consisting of platelet macrocytosis (i.e., >40% of platelets larger than 3.9 µm in diameter), thrombocytopenia (platelet count <150 x 109/L), and aggregates of the MYH9 protein in the cytoplasm of neutrophil granulocytes. Most affected individuals develop one or more additional extrahematologic manifestations of the disease over their lifetime, including sensorineural hearing loss, renal disease (manifesting initially as glomerular nephropathy), presenile cataracts, and/or elevation of liver enzymes.

Professional guidelines

PubMed

Cazzola M, Page C, Calzetta L, Singh D, Rogliani P, Matera MG
Immunotherapy 2023 Dec;15(18):1511-1519. Epub 2023 Oct 2 doi: 10.2217/imt-2023-0136. PMID: 37779474
Morales-Indiano C, Arenillas Rocha L, Mas Bosch V, Florensa Brichs L
Ann Hematol 2014 Dec;93(12):2091-2. Epub 2014 May 21 doi: 10.1007/s00277-014-2109-x. PMID: 24844782

Recent clinical studies

Etiology

Cao N, Li N, Wu H, Luo M, Lv H, Wang J
Clin Lab 2022 Sep 1;68(9) doi: 10.7754/Clin.Lab.2021.211146. PMID: 36125140
Toren A, Rozenfeld-Granot G, Heath KE, Amariglio N, Rocca B, Crosson J, Epstein CJ, Laghi F, Landolfi R, Carlsson LE, Argraves S, Bizzaro N, Moxey-Mims M, Brok-Simoni F, Martignetti JA, Greinacher A, Rechavi G
Am J Hematol 2003 Dec;74(4):254-62. doi: 10.1002/ajh.10425. PMID: 14635206
Kunishima S, Matsushita T, Kojima T, Sako M, Kimura F, Jo EK, Inoue C, Kamiya T, Saito H
Lab Invest 2003 Jan;83(1):115-22. doi: 10.1097/01.lab.0000050960.48774.17. PMID: 12533692

Diagnosis

Barrah S, Kheder R, Jebali H, Krid M, Smaoui W, Beji S, Hmida FB, Fatma LB, Rais L, Zouaghi MK
Saudi J Kidney Dis Transpl 2020 Jul-Aug;31(4):865-867. doi: 10.4103/1319-2442.292323. PMID: 32801250
Soutar RL, Day RE
Arch Dis Child 1991 Aug;66(8):982-3. doi: 10.1136/adc.66.8.982. PMID: 1929496Free PMC Article

Prognosis

Cao N, Li N, Wu H, Luo M, Lv H, Wang J
Clin Lab 2022 Sep 1;68(9) doi: 10.7754/Clin.Lab.2021.211146. PMID: 36125140
Barrah S, Kheder R, Jebali H, Krid M, Smaoui W, Beji S, Hmida FB, Fatma LB, Rais L, Zouaghi MK
Saudi J Kidney Dis Transpl 2020 Jul-Aug;31(4):865-867. doi: 10.4103/1319-2442.292323. PMID: 32801250

Clinical prediction guides

Toren A, Rozenfeld-Granot G, Heath KE, Amariglio N, Rocca B, Crosson J, Epstein CJ, Laghi F, Landolfi R, Carlsson LE, Argraves S, Bizzaro N, Moxey-Mims M, Brok-Simoni F, Martignetti JA, Greinacher A, Rechavi G
Am J Hematol 2003 Dec;74(4):254-62. doi: 10.1002/ajh.10425. PMID: 14635206
Kunishima S, Matsushita T, Kojima T, Sako M, Kimura F, Jo EK, Inoue C, Kamiya T, Saito H
Lab Invest 2003 Jan;83(1):115-22. doi: 10.1097/01.lab.0000050960.48774.17. PMID: 12533692

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