Reactive leukocytosis steroids

Approach to lymphocytosis: ALC>4000/uL
It's either reactive or clonal:
Reactive includes:
1) Infections:
- viral: HIV (in acute infection), EBV (mono), CMV, HHV6, HTLV-1
- bac: bordatella pertussis, bartonella (cat scratch disease)
- toxo, babesiosis (also causes hemolytic anemia)
2) Hypersensitivity reactions
- drugs, acute serum sickness
3) stress-induced (status epilepticus, trauma)
4) post splenectomy
5) polyclonal B cell lymphocytosis

Clonal :
1) ALL
2) CLL
3) LGL leukemia
4) thymoma

Reactive leukocytosis steroids

reactive leukocytosis steroids

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