Diagnosis of autoimmune neutropenia in a 10-month-old boy – a case report

Katarzyna Zdanowicz; Urszula Daniluk; Elena Jewsiejenko; Milena Krasnodębska; Radosław Motkowski; Dariusz Lebensztejn

doi:10.5114/ceji.2021.104327

eISSN: 1644-4124
ISSN: 1426-3912

Central European Journal of Immunology

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1/2021
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abstract:

Case report

Diagnosis of autoimmune neutropenia in a 10-month-old boy – a case report

Katarzyna Zdanowicz

¹

,

Urszula Daniluk

¹

,

Elena Jewsiejenko

¹

,

Milena Krasnodębska

¹

,

Radosław Motkowski

²

,

Dariusz Marek Lebensztejn

¹

Department of Pediatrics, Gastroenterology, Hepatology, Nutrition and Allergology, Medical University of Bialystok, Poland
Department of Pediatrics, Rheumatology, Immunology and Metabolic Bone Diseases, Medical University of Bialystok, Poland

Cent Eur J Immunol 2021; 46 (1): 118-120

DOI: https://doi.org/10.5114/ceji.2021.104327

Online publish date: 2021/03/11

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Neutropenia, congenital or acquired, is related to impaired granulocyte production in the bone marrow or increased destruction by antibodies. Autoimmune neutropenia of infancy (AIN) is associated with the occurrence of antineutrophil antibodies. AIN is the most common cause of neutropenia in infants and young children. However, its incidence is low. Detection of anti-neutrophil antibodies is an important step in confirming the diagnosis of AIN, although their detection is difficult due to low titer and poor avidity. In differential diagnosis, another cause of neutropenia should be considered, such as a drug-induced mechanism, viral infection, autoimmune and metabolic disease, hematological conditions or immune deficiency syndromes. Despite the benign course of AIN, serious infectious complications can occur. Spontaneous remission of neutropenia was observed in 95% of patients during 24 months of follow-up. We present a case of a 10-month-old boy with deafness, heart defect and Morgagni-Larrey hernia diagnosed in our department because of formation of a skin abscess due to autoimmune neutropenia.

keywords:

Diagnosis of autoimmune neutropenia in a 10-month-old boy – a case report

Katarzyna Zdanowicz 1 , Urszula Daniluk 1 , Elena Jewsiejenko 1 , Milena Krasnodębska 1 , Radosław Motkowski 2 , Dariusz Marek Lebensztejn 1

children, neutropenia, autoimmune disease, immunology, anti-human neutrophil antigen-1

Katarzyna Zdanowicz

¹

,

Urszula Daniluk

¹

,

Elena Jewsiejenko

¹

,

Milena Krasnodębska

¹

,

Radosław Motkowski

²

,

Dariusz Marek Lebensztejn

¹