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Monocytosis is an increase in the number of monocytes circulating in the blood. [1] Monocytes are white blood cells that give rise to macrophages and dendritic cells in the immune system. In humans, monocytosis occurs when there is a sustained rise in monocyte counts greater than 800/mm 3 to 1000/mm 3. [2]
Monocyte distribution width (MDW) is a cytometry-based parameter that measures the range of variation of monocytes. If the parameter is available, it is reported as part of the standard complete blood count (CBC) with differential. [1] The parameter was FDA cleared as an early sepsis indicator for ER patients in 2019 for Beckman Coulter. [2] [3]
A high count of CD14 + CD16 ++ monocytes is found in severe infection . [30] In the field of atherosclerosis, high numbers of the CD14 ++ CD16 + intermediate monocytes were shown to be predictive of cardiovascular events in populations at risk. [31] [32] CMML is characterized by a persistent monocyte count of > 1000/microL of blood.
Myeloblasts, monoblasts or promonocytes are 5-19% in blood, or; Myeloblasts, monoblasts or promonocytes are 10-19% in bone marrow, or; Auer rods are present; CMML-1 and CMML-2 can be additionally grouped as CMML-1 or CMML-2 with eosinophilia. These are diagnosed if the above criteria are met and the blood eosinophil count is >1.5x10 9 /L. [8]
The image on the left shows a monocyte actively phagocytizing an antibody-sensitized red blood cell. The image on the right shows multiple RBC that have been phagocytized by a single monocyte. The monocyte monolayer assay (MMA) is used to determine the clinical significance of alloantibodies produced by blood transfusion recipients. [1]
Monocytopenia is a form of leukopenia associated with a deficiency of monocytes. It has been proposed as a measure during chemotherapy to predict neutropenia , [ 1 ] though some research indicates that it is less effective than lymphopenia .
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The mononuclear phagocyte system and the monocyte macrophage system refer to two different entities, often mistakenly understood as one. [citation needed] "Reticuloendothelial system" is an older term for the mononuclear phagocyte system, but it is used less commonly now, as it is understood that most endothelial cells are not macrophages. [2]