Leucocytosis is an increase in the absolute count of circulating white blood cells. The normal range is 4–11 × 10 9 /L. It may involve any of the types of white cells, but a polymorphonuclear leucocytosis, i.e. neutrophilia, is the most common.

Causes

Neutrophilia

Physiological

  • Neonates

  • Exercise

  • Pregnancy

  • Childbirth

  • Lactation

  • Stress

Bacterial infection,

e.g. acute appendicitis, pyelonephritis

Acute non-infective inflammation

  • Surgery

  • Burns

  • Infarction, e.g. myocardial infarction, mesenteric infarction

  • Crush injuries

  • Rheumatoid arthritis

Acute haemorrhage and haemolysis

METABOLIC

  • Uraemia

  • Diabetic ketoacidosis

  • Gout

Chronic myeloproliferative disease

  • CML (chronic myeloid leukaemia)

  • Polycythaemia rubrum vera

  • Myelofibrosis

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