Autoimmune neutropenia
Evidence: Unconfirmed
Names
Autoimmune neutropenia (AIN)
Autoimmune neutropenia of infancy
Primary autoimmune neutropenia
Description
Neutropenia is defined as a low white blood cell count. There are many forms of neutropenia connected to autoimmune disease. It is important to understand which form is which.
Primary neutropenia is diagnosed when there are no other conditions diagnosed (such as lupus, rheumatoid arthritis, or inflammatory bowel disease). Secondary neutropenia is a low white blood cell count that occurs when other diseases are present. This article only covers primary neutropenia.
Primary neutropenia most often appears in infants and children. The cause may be unrelated to autoimmune disease. Most cases of childhood primary neutropenia that are autoimmune are not serious and the disease goes away in 3 to 5 years with no long term effects. However, in a relatively small number of patients, the disease becomes chronic. Adults, mostly women, can also develop primary autoimmune neutropenia after childhood. These cases are almost always chronic.
In chronic autoimmune neutropenia the body produces IgG antibodies that target and destroy the body’s own white blood cells (“neutrophils”), which leads to a lowered white blood cell count and leaves patients with weakened immune systems susceptible to bacterial and other infections.
Patient Groups
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Prevalence
US Cases: 1,600 [Chaudhari 2020] 5 cases per million for chronic severe “isolated” (primary) neutropenia. Prevalence of secondary neutropenia among patients with another autoimmune condition is substantially higher, but not all cases of measurable neutropenia are symptomatic.
Typical Age of onset
Autoimmune Neutropenia often presents at birth, but goes into remission by age 3 in 95% of cases, and continuing as a chronic condition in 5% of cases. When neutropenia occurs in adults, it is almost always chronic.
Symptoms
Frequent, recurring infections (due to weak immune system)
Mouth ulcers
Inflammation of the gums
Sore throat
Chest infections
Diarrhea
High fevers and chills
Exhaustion/lethargy
References
U.S National Library of Medicine
American society of Hematology
Contact
National Institutes of Health
Profile by Darrison Haftarczyk