DIAGNOSTIC EVALUATION OF PHAGOCYTIC CELL
FUNCTION
Basically, three sets of tests are commonly
used to evaluate a possible phagocytic cell deficiency. A complete blood count
with differential is essential because the most common phagocytic cell
deficiency is iatrogenically induced neutropenia . The expression of CD11/18
markers on neutrophil and monocyte cell membranes is the most efficient way to
rule out adhesion molecule deficiencies, which are extremely rare . Finally,
one of the variants of the tests used to measure the superoxide burst after
ingestion of op-sonized particles, such as the NBT reduction assay, is used to
investigate chronic granulo-matous disease, by far the most common form of
primary phagocytic cell deficiency.
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