The Relationship Between Severity of Hypothyroidism and Red Blood Cells Indices

2019 ◽  
Author(s):  
Fakhredin Saba ◽  
Fatemeh Sayyadipoor
Keyword(s):  
Thyroid Hormones ◽  
Red Blood Cells ◽  
Blood Cells ◽  
Thyroid Dysfunction ◽  
Blood Count ◽  
Complete Blood Count ◽  
Oxygen Metabolism ◽  
First Time ◽  
The Relationship ◽  
Cell Counter

Background and Aims: Thyroid hormones have an important role in metabolism and regulation of the red blood cells (RBCs). Thyroid dysfunction induces various effects on blood cells such as anemia through reducing the oxygen metabolism. For the first time, we aimed to determine the effects of severity activation of hypothyroidism on RBCs indices in patients with hypothyroidism. Materials and Methods: This study was performed on 79 patients with hypothyroidism. Initially patients' TSH level was determined by immunoassays method, and then according to TSH ranges (0.3-5.5 µIU/mL), patients were divided into two moderate hypothyroidism (45 individuals) (TSH 6-10 µIU/mL) and marked hypothyroidism (34 individual) (TSH>10 µIU/mL) groups. Then, complete blood count was measured by cell counter. Results and conclusions: Data analysis revealed a statistically difference between the two groups of patient including moderate and marked hypothyroidism in RBCs count (4.46 versus 4.04 mil/L), hemoglobin (12.8 versus 12.3 g/dl) and hematocrit (39.8 versus 38.0 %) respectively. It seems that severly reduced hormones of thyroid may result in markedly decrease in RBCs count, hemoglobin and hematocrit. These finding are consistent with the fact that reduced thyroid hormones may cause anemia frequently through effect on cytokines involving erythropoiesis such as erythropoietin

Laparoscopic transperitoneal adrenalectomy v.s. posterior retroperitoneal adrenalectomy in the aspect of complete blood count

2019 ◽  
Vol 91 (Suplement 1) ◽  
pp. 17-21
Author(s):  
Tomasz Kozłowski ◽  
Barbara Choromańska ◽  
Piotr Wojskowicz ◽  
Kamil Astapczyk ◽  
Robert Milewski ◽  
...  
Keyword(s):  
Blood Loss ◽  
Minimally Invasive ◽  
Red Blood Cells ◽  
Blood Cells ◽  
Blood Count ◽  
Complete Blood Count ◽  
Tumour Size ◽  
Surgical Approaches ◽  
Intraoperative Blood Loss ◽  
Retroperitoneal Adrenalectomy

Introduction: Minimally invasive surgery is the gold standard for treatment of benign adrenal tumours up to 7–8 cm in diameter. Nowadays, two surgical approaches are performed routinely – lateral transperitoneal adrenalectomy (LTA) and posterior retroperitoneal adrenalectomy (PRA). Both methods are recognized as safe and beneficial for a patient, what can also prove the statistical analysis in the perioperative period. Aim: The aim of our work was to compare lateral transperitoneal adrenalectomy with posterior retroperitoneal adrenalectomy in the aspect of complete blood count. M aterial and Methods: Patients, who underwent videoscopic adrenalectomy in our Department from 02.2015 to 06.2018, were prospectively included to the study. The inclusion criteria was the tumour size smaller than 8cm in abdominal CT. Primary neoplasms were excluded from the study. All surgieres were carried out by one surgeon. Patients were randomized to PRA or LTA. The blood samples were collected - a day before the surgery, and a day, a week, and a month after the surgery. We assessed the rate of leucocytes, red blood cells, hemoglobin and platelets in the peripheral blood. Additionally, the volume of intraoperative blood loss was measured. Results: 77 videoscopic adrenalectomies were carried out, 33 (42,9%) – LTA, 44 (57,1%) – PRA. The average age of the patients constituted- LTA – 61.2± 8.3, PRA – 59.3±10.2. Tumour size in LTA – 4 cm, in PRA – 4.1 cm. Adrenal gland adenomas, basing on postoperative histopathological findings, were most commonly removed tumours in our study: LTA – 82%, PRA – 70%. Intraoperative blood loss was not significant in both groups. We found differences in red blood cells, leucocytes, hemoglobin and platelets rates in each group, without statistically siginificant difference in both groups. Conclusion: Basing on our work, both minimally invasive adrenalectomies are not only effective but also safe. There were not any significant differences in both groups in the aspect of complete blood count. Both approaches – PRA and LTA can be routinely performed as a treatment of benign adrenal lesions and the choice of the approach depends on surgeon’s experience.

SCANNING ELECTRON MICROSCOPE: POSSIBILITIES FOR STUDYING KIDNEY DISEASES

2020 ◽  
pp. 176-182
Author(s):  
Mamaeva S.N. ◽  
Vinokurov R.R. ◽  
Munkhalova Ya.A. ◽  
Dyakonova D.P. ◽  
Platonova V.A. ◽  
...  
Keyword(s):  
Electron Microscopy ◽  
Scanning Electron Microscopy ◽  
Electron Microscope ◽  
Scanning Electron Microscope ◽  
Red Blood Cells ◽  
Blood Cells ◽  
Filtration Rate ◽  
Kidney Diseases ◽  
First Time ◽  
Scanning Electron

Currently, due to the intensive development of high-tech science-intensive medical and research devices, more and more attention is paid to the development of diagnostics of rare and difficult to diagnose diseases. It is known that among numerous nephropathies, hematuria may be the only symptom of kidney and urinary tract diseases, which complicates their diagnosis and treatment. In order to develop new approaches for the diagnosis of nephropathies, the authors have been studying the morphology of red blood cells in the blood and urine of children and adults using a scanning electron microscope for several years. The paper presents the results of studies of children with various kidney diseases, including IgA-nephropathy, and chronic glomerulonephritis. Scanning electron microscopy was used for the first time to detect nanoparticles on the surface of red blood cells, the size of which is comparable to the size of viruses, which became the basis for one of the authors ' assumptions, namely, the possible transport of certain types of viruses by red blood cells. Thus, some kidney diseases could be considered virus-associated. This paper presents for the first time the results of determining the glomerular filtration rate of both kidneys separately in the study of separate kidney function and of the study of urine smears obtained during catheterization of the ureters in patients with hydronephrosis of one of the kidneys by scanning electron microscopy. As in previous studies, nanoparticles were found on the surface of red blood cells, which leads to the conclusion about the possible viral nature of the disease of the considered patient. In addition, smear images obtained using a microscope showed a significant difference in the elements of the right and left kidneys urine, which did not contradict the data on the study of glomerular filtration rate. According to the authors, the capabilities of the scanning electron microscope can be applied in fundamental research of kidney diseases at the cellular and molecular levels, forming new ideas about their origin, as well as on the basis of which new methods of non-invasive diagnostics can be built.

Rate of Exchange of Phosphate in Red Blood Cells: Effect of Thyroid Hormones

Nature ◽  
1959 ◽  
Vol 183 (4662) ◽  
pp. 679-680 ◽  
Author(s):  
A. M. ERMANS ◽  
P. A. BASTENIE
Keyword(s):  
Thyroid Hormones ◽  
Red Blood Cells ◽  
Blood Cells

scholarly journals Evaluation of anaemia

2017 ◽  
Vol 5 (10) ◽  
pp. 4481 ◽  
Author(s):  
Suchita V. Ingale ◽  
Milind P. Ullewar ◽  
Vikas C. Ingale ◽  
Jayshree J. Upadhye
Keyword(s):  
Red Blood Cells ◽  
Blood Cells ◽  
Complete Blood Count ◽  
Severe Anaemia ◽  
Peripheral Smear ◽  
Pathology Laboratory ◽  
Mild Anemia ◽  
Normocytic Normochromic Anaemia ◽  
Moderate Anemia ◽  
Mild Anaemia

Background: Often, the first test used to diagnose anemia is a complete blood count (CBC). It determines the number, size, volume, and hemoglobin content of red blood cells. Peripheral smear is done for typing of anaemia. Such evaluation is necessary for proper treatment.Methods: A retrospective study was done in 300 anaemic patients at Shakuntala pathology laboratory, Nagpur. Patients were randomly selected including males and females. CBC and peripheral smear were analyzed.Results: Out of total 300 patients evaluated, the prevalence of anaemia was quite significant in females 225 (75%) than males 75 (25%). 66 females (22%) had mild anemia while 129 females (43%) had moderate anemia and 30 females (10%) had severe anaemia 36 males (12%) had mild anaemia, 30 males (10%) had moderate anaemia while 9 males (3%) had severe anaemia. In morphology of red blood cells, normocytic normochromic anaemia was seen in 132 (44%) females and in 45 (15%) of males. Microcytic hypochromic anaemia was seen in 90 (30%) females and 27 (9%) males. Macrocytic anaemia was seen in 3 (1%) females and 3 (1%) males.Conclusions: Prevalence of anaemia is quite high in females than males. Also, the severity of anaemia is more in females than males. So, heath programmes should be directed more towards females since adolescent age.

Concomitant Rash and Blood Dyscrasias in Geriatric Psychiatry Patients Treated with Carbamazepine

1998 ◽  
Vol 32 (9) ◽  
pp. 884-887 ◽  
Author(s):  
Marshall Cates ◽  
Richard Powers
Keyword(s):  
Blood Count ◽  
Geriatric Patients ◽  
Complete Blood Count ◽  
Case Reports ◽  
Signs And Symptoms ◽  
Geriatric Psychiatry ◽  
Drug Induced ◽  
Carbamazepine Therapy ◽  
A Prospective Study ◽  
The Relationship

BACKGROUND: Rashes and blood dyscrasias are disconcerting adverse effects associated with carbamazepine therapy. Rashes are quite common, as are mild blood dyscrasias, such as mild leukopenias. Fortunately, severe rashes and blood dyscrasias are rare. There are few reports on the relationship between carbamazepine-induced rashes and blood dyscrasias, including a prospective study in which rash appeared concomitantly with leukopenia and/or thrombocytopenia in 10 patients, two case reports in which simultaneous rash and agranulocytosis occurred, and two case reports in which rashes served as harbingers of fatal aplastic anemia. CASE REPORTS: We report two cases of concomitant rashes and blood dyscrasias in geriatric psychiatry patients receiving carbamazepine therapy for bipolar disorder. One patient was found to have a severe leukopenia within several days after rash onset. The other patient was discovered to have a severe leukopenia and thrombocytopenia within about a month after rash onset. DISCUSSION: Current hematologic monitoring guidelines for carbamazepine rely heavily on the recognition of signs and symptoms of blood dyscrasias by clinicians and patients. We believe that our cases support the suggestion that patients who develop rashes receive more vigilant monitoring of the complete blood count, should carbamazepine therapy be continued. Given the currently available case reports and the fact that the incidence of drug-induced blood dyscrasias increases with advanced age, this recommendation may be particularly relevant for geriatric patients. CONCLUSIONS: Further study is required to establish whether carbamazepine-induced concomitant rashes and blood dyscrasias are valid associations insofar as monitoring is concerned.

scholarly journals Changes in the peripheral blood cell count in pediatric patients with Down syndrome

2019 ◽  
Vol 47 (8) ◽  
pp. 3757-3762
Author(s):  
Niculina Mang ◽  
Anda C. Vizitiu ◽  
Andrei Anghel
Keyword(s):  
Down Syndrome ◽  
Blood Cell ◽  
Cell Count ◽  
Peripheral Blood ◽  
Thyroid Dysfunction ◽  
Blood Count ◽  
Pediatric Patients ◽  
Complete Blood Count ◽  
Peripheral Blood Cell ◽  
Blood Cell Count

Objectives Down syndrome (DS) is associated with multiple complications, including a high risk of leukemia and thyroid dysfunction. This clinical study aimed to examine the complete blood cell count in patients with DS without leukemia or transient abnormal myelopoiesis. We also aimed to evaluate the effect of thyroid dysfunction on hematological anomalies in DS. Methods We analyzed the peripheral blood cell count in 23 pediatric patients with DS with and without thyroid dysfunction and in 17 pediatric patients without DS with thyroid dysfunction. Results Patients with DS showed greater neutrophilia and lymphopenia than did patients with DS and hypothyroidism and patients with hypothyroidism. Surprisingly, patients with DS showed a significant degree of eosinopenia in the peripheral blood. Interestingly, hypothyroidism had an attenuating effect on different lineages in the complete blood count. However, these anomalies were specific for DS. Conclusions Our clinical findings support previous data on DS-associated changes in the complete blood count. Our study also shows novel alterations in the complete blood count in leukemia-free patients with DS in association with hypothyroidism. The attenuating effect of thyroid dysfunction on changes in different lineages in the context of DS is novel and deserves further analysis in larger studies.

Volume-dependent K+ transport in rabbit red blood cells comparison with oxygenated human SS cells

1989 ◽  
Vol 257 (1) ◽  
pp. C114-C121 ◽  
Author(s):  
N. al-Rohil ◽  
M. L. Jennings
Keyword(s):  
Red Blood Cells ◽  
Blood Cells ◽  
Cell Volume Regulation ◽  
Sulfhydryl Group ◽  
Cell Swelling ◽  
Inhibitory Potency ◽  
Ph Optimum ◽  
The Relationship ◽  
Low K ◽  
K Transport

In this study the volume-dependent or N-ethylmaleimide (NEM)-stimulated, ouabain-insensitive K+ influx and efflux were measured with the tracer 86Rb+ in rabbit red blood cells. The purpose of the work was to examine the rabbit as a potential model for cell volume regulation in human SS red blood cells and also to investigate the relationship between the NEM-reactive sulfhydryl group(s) and the signal by which cell swelling activates the transport. Ouabain-resistant K+ efflux and influx increase nearly threefold in cells swollen hypotonically by 15%. Pretreatment with 2 mM NEM stimulates efflux 5-fold and influx 10-fold (each measured in an isotonic medium). The ouabain-resistant K+ efflux was dependent on the major anion in the medium. The anion dependence of K+ efflux in swollen or NEM-stimulated cells was as follows: Br- greater than Cl- much greater than NO3- = acetate. The magnitudes of both the swelling- and the NEM-stimulated fluxes are much higher in young cells (density separated but excluding reticulocytes) than in older cells. Swelling- or NEM-stimulated K+ efflux in rabbit red blood cells was inhibited 50% by 1 mM furosemide, and the inhibitory potency of furosemide was enhanced by extracellular K+, as is known to be true for human AA and low-K+ sheep red blood cells. The swelling-stimulated flux in both rabbit and human SS cells has a pH optimum at approximately 7.4. We conclude that rabbit red blood cells are a good model for swelling-stimulated K+ transport in human SS cells.(ABSTRACT TRUNCATED AT 250 WORDS)

EFFECT OF STENOSIS SEVERITY ON SHEAR-INDUCED DIFFUSION OF RED BLOOD CELLS IN CORONARY ARTERIES

2019 ◽  
Vol 19 (05) ◽  
pp. 1950034 ◽  
Author(s):  
ABDULRAJAK BURADI ◽  
SUMANT MORAB ◽  
ARUN MAHALINGAM
Keyword(s):  
Red Blood Cells ◽  
Blood Cells ◽  
Mixture Theory ◽  
Theory Approach ◽  
Newtonian Viscosity ◽  
Maximum Fluctuation ◽  
Stenosis Severity ◽  
Flux Model ◽  
First Time ◽  
Arterial Endothelial Cells

In large blood vessels, migration of red blood cells (RBCs) affects the concentration of platelets and the transport of oxygen to the arterial endothelial cells. In this work, we investigate the locations where hydrodynamic diffusion of RBCs occurs and the effects of stenosis severity on shear-induced diffusion (SID) of RBCs, concentration distribution and wall shear stress (WSS). For the first time, multiphase mixture theory approach with Phillips shear-induced diffusive flux model coupled with Quemada non-Newtonian viscosity model has been applied to numerically simulate the RBCs macroscopic behavior in four different degrees of stenosis (DOS) geometries, viz., 30%, 50%, 70% and 85%. Considering SID of RBCs, the calculated average WSS increased by 77.70% which emphasises the importance of SID in predicting hemodynamic parameters. At the stenosis throat, it was observed that 85% DOS model had the lowest concentration of RBCs near the wall and highest concentration at the center. For the stenosis models with 70% and 85% DOS, the RBC lumen wall concentration at the distal section of stenosis becomes inhomogeneous with the maximum fluctuation of 1.568%. Finally, the wall regions with low WSS and low RBC concentrations correlate well with the atherosclerosis sites observed clinically.

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