Approach to leucocytosis
Jackie Thomson
LYMPHOID
MYELOID
ACUTE / IMMATURE
MATURE/ CHRONIC
LYMPHOID
MYELOID
MATU
RE
IMM
ATU
RE
B-ALLT-ALL
LYMPHOID
MYELOID
MATU
RE
IMM
ATU
RE
B-ALLT-ALL
AMLMDS
LYMPHOID
MYELOID
MATU
RE
IMM
ATU
RE
B-ALLT-ALL
CLLALL LYMPHOMAS
BURKITT LEUKAEMIAMYELOMA
AMLMDS
LYMPHOID
MYELOID
MATU
RE
IMM
ATU
RE
B-ALLT-ALL
CLLALL LYMPHOMAS
BURKITT LEUKAEMIAMYELOMA
AMLMDS
CHRONIC MYELOID LEUKAEMIAESSENTIAL THROMBOCYTOSIS
POLYCYTHEMIA VERAMYELOFIBROSIS
LYMPHOID
MYELOID
MATU
RE
IMM
ATU
RE
Child
• Infections
• Leukemia most common ALL
Adult
• Good history:– Infection– B symptoms– Tierdness– Bleeding– Burning eyes – Skin
adult
• FBC• NB look at platelets and HB• Contact the hematologist when you have a
clinical suspicion regarding patient• Remember flow cytometry• Fish• Molecular testing
adult
• Exam:• Look for spleen/ lymphnodes• Mouth ulcers • Auto immune /artritis• erythromialgia